Nanoparticles and distinct exosome subsets for detection and treatment of cancer

ABSTRACT

The present invention is directed to methods of diagnosing, prognosing, and managing treatment of cancer in a subject. These methods involve selecting a subject having cancer and obtaining, from the selected subject a population of either exomeres having a diameter less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm, The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-giyeans contained In said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or mom lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or mom genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Cancer is then diagnosed, prognosed, or treatment Is modified based on this information.

This application claims the priority benefit of U.S. Provisional Patent Application Ser. Nos. 62/623,992 and 62/593,504, filed Jan. 30, 2018 and Dec. 1, 2017, respectively, which are hereby incorporated by reference in its entirety.

This invention was made with government support under R01 CA218513 and R01 CA169416 awarded by National Institutes of Health; U01 CA 169538 awarded by National Cancer Institute; and W81XWH-13-10249 and W81XWH-13-1-0425 awarded by Department of Defense. The government has certain rights in the invention.

FIELD OF THE INVENTION

The present invention relates to nanoparticles and distinct exosome subsets for detection and treatment of cancer.

BACKGROUND OF THE INVENTION

Cells secrete a wide variety of soluble factors and extracellular vesicles (EVs) to mediate intercellular communication (locally and systemically) under both physiological and pathological conditions, including cancers (Théry et al., “Exosomes: Composition, Biogenesis and Function,” Nat Rev Immunol 2:569-579 (2002); Andaloussi et al., “Extracellular Vesicles: Biology and Emerging Therapeutic Opportunities,” Nat Rev Drug Discov 12:347-357 (2013); Raposo & Stoorvogel, “Extracellular Vesicles: Exosomes, Microvesicles, and Friends,” J Cell Biol 200:373-383 (2013)). EVs are heterogeneous and comprise various subclasses, including exosomes, which are small (50 nm to 150 nm) extracellular membrane vesicles of endosomal origin, and microvesicles, which are large (150 nm to 500 nm or even larger to >10 μm) vesicles shed directly by budding from the cellular plasma membrane. Cancer cells shed atypically large vesicles, known as large oncosomes (0.5 μm to 10 μm) which result from alterations in specific signaling pathways (e.g. Ras Homolog Family Member A/Rho-associated protein kinase (RhoA:Rock) signaling) (Di Vizio et al., “Oncosome Formation in Prostate Cancer: Association with a Region of Frequent Chromosomal Deletion in Metastatic Disease,” Cancer Res 69:5601-5609 (2009); Morello et al., “Large Oncosomes Mediate Intercellular Transfer of Functional MicroRNA,” Cell Cycle 12:3526-3536 (2013); Minciacchi et al., “MYC Mediates Large Oncosome-Induced Fibroblast Reprogramming in Prostate Cancer,” Cancer Res 77:2306-2317 (2017)). Extensive research has shown that functional molecules, including proteins, genetic material, metabolites and lipids, are selectively recruited and packaged into EVs and horizontally transferred to recipient cells, thereby acting as vehicles of intercellular communication (Balaj et al., “Tumour Microvesicles Contain Retrotransposon Elements and Amplified Oncogene Sequences,” Nat Commun 2:180 (2011); Choi et al., “Proteomics, Transcriptomics and Lipidomics of Exosomes and Ectosomes,” Proteomics 13:1554-1571 (2013); Thakur et al., “Double-Stranded DNA in Exosomes: A Novel Biomarker in Cancer Detection,” Cell Res 24:766-769 (2014); Tetta et al., “Extracellular Vesicles as an Emerging Mechanism of Cell-to-Cell Communication,” Endocrine 44:11-19 (2013)). In addition, through the work described herein, a novel population of non-membranous nanoparticles termed ‘exomeres’ (˜35 nm) have been identified, which are indeed the predominant extracellular nanoparticles (ENPs) secreted by most types of cells.

Exosomes are nanosized extracellular membrane vesicles of endosomal origin secreted by most cell types, including cancer cells (Thery et al., “Exosomes: Composition, Biogenesis and Function,” Nature Reviews. Immunology 2:569-579 (2002); El Andaloussi et al., “Extracellular Vesicles: Biology and Emerging Therapeutic Opportunities,” Nature Reviews. Drug Discovery 12:347-357 (2013); Raposo et al., “Extracellular Vesicles: Exosomes, Microvesicles, and Friends,” The Journal of Cell Biology 200:373-383 (2013)). Proteins, genetic material (e.g., mRNAs, miRNAs, lnRNAs, DNA), metabolites and lipids, are selectively recruited and packaged into exosomes, which horizontally transfer their cargo to recipient cells, thereby acting as vehicles of intercellular communication in both physiological and pathological conditions (Balaj et al., “Tumour Microvesicles Contain Retrotransposon Elements and Amplified Oncogene Sequences,” Nature Communications 2:180 (2011); Choi et al., “Proteomics, Transcriptomics and Lipidomics of Exosomes and Ectosomes,” Proteomics 13:1554-1571 (2013); Thakur et al., “Double-Stranded DNA in Exosomes: a Novel Biomarker in Cancer Detection,” Cell Research 24:766-769 (2014); Tetta et al., “Extracellular Vesicles as an Emerging Mechanism of Cell-to-Cell Communication,” Endocrine 44:11-19 (2013)). Harnessing this knowledge, translational researchers have focused on developing exosome-based diagnostic/prognostic biomarkers and therapeutic strategies.

The present invention is directed to overcoming these and other deficiencies in the art.

SUMMARY OF THE INVENTION

A first aspect of the present invention is directed to a method of diagnosing cancer in a subject. This method involves selecting a subject having cancer and obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm. The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Cancer is then diagnosed based on the contacting step.

Another aspect of the present invention is directed to a method of prognosing cancer in a subject. This method involves selecting a subject having cancer and obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm. The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Cancer is then prognosed based on the contacting step.

Another aspect of the present invention is directed to a method of managing treatment in a subject. This method involves selecting a subject undergoing treatment for cancer and obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm. The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Treatment is then modified based on the contacting step.

Another aspect of the present invention relates to a kit suitable for diagnosing cancer. The kit includes one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more proteins contained in exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more N-glycans contained in exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to a sample rom a subject, or the presence or absence, of one or more lipids contained in exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in exomeres, small exosomes, or large exosomes, or (5) combinations thereof, wherein said exomeres have a diameter of less than 50 nm, said small exosomes have a diameter of 60 to 80 nm and said large exosomes have a diameter of 90 to 120 nm.

Through studies described herein, the influence of several key parameters of AF4 that were shown to be critical for high-resolution separation of distinct exosome subsets were evaluated. These influencing factors included cross-flow, channel height, sample focusing, type of membrane, and the amount of loaded sample. It should be noted that these factors collectively determine fractionation quality, and changing one parameter usually affects the influence of other factors on resolution power. Testing different combinations of these factors, however, can be expensive, time-consuming, and labor-intensive, and thus can be impractical. Understanding the working principles of AF4 and determining the complexity of the analyzed samples will be useful to guide the method development process.

The present invention describes identification of a novel type of nanoparticle secreted by most cell types, including cancer cells, which are termed exomeres. Exomeres are a prominent and heterogeneous population of small (<50 nm hydrodynamic diameter, with a peak about 35 nm), weakly negatively charged (−2.7 mV to −9.7 mV), and highly stiff (˜145-816 MPa) nanoparticles secreted by cells. Structural analysis revealed the lack of external lipid-bilayer membrane structure of exomeres, and molecular characterization showed its composition of a variety of biologically functional molecules, including proteins, lipids, nucleic acids (DNA and RNAs), metabolites, and glycans. Besides exomeres, two distinct subsets of exosomes, namely the small exosomes (Exo-S, 60-80 nm) and large exosomes (Exo-L, 90-120 nm) were separated, by employing the technique of asymmetric flow field-flow fractionation (AF4). In contrast to exomeres, both Exo-S and Exo-L have external lipid-bilayer membrane structures, carry more negative charges, and are softer than exomeres.

The studies described herein reveal that each nanoparticle type, i.e. exomeres, Exo-S and Exo-L, contain unique molecular signatures in comparison to each other. These nanoparticles are secreted into both the surrounding environment of cells and the peripheral circulation system and other types of body fluids. Therefore, these nanoparticles represent a reservoir of biomarkers for cancer diagnosis, prognosis and monitoring disease progression and recurrence post treatment.

Furthermore, both exomeres and exosome subsets can horizontally transfer their cargo to recipient cells, thereby acting as vehicles of intercellular communication in both physiological and pathological conditions, thus representing targets of therapeutics development. Specifically, exomere proteomic profiling revealed an enrichment in metabolic enzymes and hypoxia, microtubule and coagulation proteins and specific pathways, such as glycolysis and mTOR signaling. Exo-S and Exo-L contained proteins involved in endosomal function and secretion pathways, and mitotic spindle and IL-2/STAT5 signaling pathways, respectively. Biodistribution examination revealed that exomeres target organs such as liver, spleen, and bone marrow primarily, implicating their potential function in systemic regulation during tumor progression. In distinction to the observation of exomeres, Exo-S demonstrated higher uptake by the lung and Exo-L by lymph nodes, suggesting their potential roles in mediating organ-specific metastasis and immune response during disease progression, respectively.

Taken together, the newly identified exomeres, Exo-S and Exo-L present unique potential of serving as biomarkers and therapeutic targets for cancer patients.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A-1G show the identification, via AF4 and EM imaging analysis, of exomeres and two distinct subpopulations of exosomes released by tumor cells. FIG. 1A shows a representative AF4 fractionation profile of B16-F10-derived exosomes. x-axis, time (min); y-axis (scale) and black dots, hydrodynamic radius (nm); red and blue lines illustrate the QELS (DLS) intensity and UV absorbance (shown on a relative scale), respectively. P1-P5 marks the peaks detected based on UV absorbance. Fractions were pooled for exomeres (hydrodynamic diameter <50 nm); Exo-S (60-80 nm); and Exo-L (90-120 nm). FIG. 1B shows a representative correlation function at peak 3 (P3), t=25.1 min. For 1A and 1B the experiment was repeated independently 50 times with similar results. FIG. 1C shows TEM imaging analysis of exosome input mixture (pre-fractionation) and fractionated exomeres, Exo-S and Exo-L subpopulations. Arrows point to exomeres (red), Exo-S (blue) and Exo-L (green). Scale bar, 200 nm. This experiment was repeated 7 times independently with similar results. FIG. 1D shows Western blotting analysis of exosomal marker proteins in fractionated samples. 100 μg of whole cell extract (WCE) and 10 μg of exosome and exomere mixture input and each subset were analyzed. This experiment was done once. FIG. 1E shows measurement of hydrodynamic diameters of exomeres, Exo-S and Exo-L derived from representative cell lines (i.e. B16-F10 (F10), AsPC-1, Pan02, MDA-MB-4175 (4175) and 4T1) in the batch mode using Zetasizer after pooling fractions collected for each subset of nanoparticles from an individual AF4 fractionation, Data are presented as mean±SEM (standard error of the mean), in the order of exomere, Exo-S and Exo-L: B16-F10 (n=10, 9, and 8 independent measurements, respectively); Pan02 (n=11, 6, 11); AsPC-1 (n=5, 5, 5); 4175 (n=3, 5, 3); 4T1 (n=5, 5, 5)). FIG. 1F shows TEM imaging analysis of fractions collected from explant culture of fresh human melanoma tissue. Scale bar, 200 nm. This experiment was performed with two independent specimens with similar results. FIG. 1G shows a batch mode measurement of hydrodynamic diameters of fractions shown in FIG. 1F. Data are presented as mean±SEM (exomeres and Exo-L, n=6; Exo-S, n=7 independent measurements). Unprocessed blots are provided in FIG. 14.

FIGS. 2A-2K shows characterization of AF4 fractions using TEM imaging and NTA analyses and examination of AF4 profiles of nanoparticles derived from cells under different culture and storage conditions. FIG. 2A shows TEM analysis of particles in AF4 peaks P1 and P5 of B16-F10. The experiment was repeated independently 3 times with similar result. Scale bar, 500 nm. FIG. 2B shows a comparison of the hydrodynamic diameter of each fraction determined by AF4-QELS versus NTA. Individual fractions (time slice, 0.5 min/fraction) were taken every 2 minutes from 20 to 44 minutes during the AF4 time course, and subjected to NTA. Results shown are mean±SEM (n=3 independent samples). Mode size from NTA was utilized. X-axis, time course of AF4 (min); Y-axis, hydrodynamic diameter (nm). FIG. 2C shows the size distribution profiles of representative fractions by NTA (input, unfractionated samples; fractions at 20, 32, and 44 minutes). Multiple peaks were detected for fractions at 20 and 44 minutes by NTA. A mode size of 126 nm of input indicates that NTA cannot efficiently resolve polydisperse samples and is biased towards large particles. This experiment was repeated 3 times independently with similar results. FIG. 2D shows the particle concentration of each fraction measured by NTA. The hydrodynamic diameter of the peak fraction (28 minutes) was 77 nm. Results shown are mean±SEM (n=3 independent samples). FIGS. 2E-2I show AF4 profiles of B16-F10 sEVs collected from technical (blue lines, replicate #1; red lines, replicate #2) (FIG. 2E) and biological replicates (red lines, QELS; blue lines, UV; black (replicate #1) and green dots (replicate #2), hydrodynamic radius; Differences in UV and QELS signal intensity is due to the different amount of input samples for two replicates)(FIG. 2F), kept at either 4° C. or −80° C. for one week (red lines, QELS; blue lines, UV; black (fresh) and green dots (frozen), hydrodynamic radius) (FIG. 2G), cells of different passage numbers (blue and red lines, UV of cells at passage 10 and 18, respectively; black dots, hydrodynamic radius) (FIG. 2H), and under hypoxic versus normoxic conditions for 48 h (blue and red lines, UV for samples cultured with 20% and 1% O₂, respectively; black dots, hydrodynamic radius) (FIG. 2I). Experiments were repeated independently 3 times for FIGS. 2E-2G and twice for FIG. 2H with similar results. For FIG. 2I, the experiment was repeated with 3 different cell lines independently with similar results. FIGS. 2J and 2 k show AF4 (FIG. 2J) and TEM (FIG. 2K) analysis of nanoparticles isolated in parallel from the blank media control and CM of 3-day cultures of B16-F10 and MDA-MB-231-4175. This experiment was done once. (Red and Blue lines, UV; black dots, hydrodynamic radius; Scale bar, 200 nm.)

FIGS. 3A-3B show identification of exomeres and exosome subpopulations released by multiple cancer cell lines. Shown are AF4 profiles (FIG. 3A) and representative TEM images (FIG. 3B) of unfractionated input samples and pooled fractions of exomeres, Exo-S and Exo-L that derived from various cancer cell lines, including AsPC-1. Pan02, MDA-MB-231-4175, and 4T1. Multiple independent experiments were conducted with similar results for (FIG. 3A) (repeated times: AsPC-1, 9×; Pan02, 16×; 4175, 17×; 4T1, 10×) and (FIG. 3B) (AsPC-1, 3×; Pan02, 2×; 4175, 1×; 4T1, 4×). Scale bar, 200 nm. x-axis, time (minutes); y-axis (scale) and black dots, hydrodynamic radius (nm); Red and blue lines illustrate the QELS (DLS) intensity and UV absorbance (shown on a relative scale), respectively.

FIGS. 4A-4B show detection of exomeres, Exo-S and Exo-L in samples isolated from the tissue explant cultures. FIG. 4A is an AF4 profile of exosomes isolated from explant culture of fresh human melanoma tissues. Red and blue lines illustrate the QELS (DLS) intensity and UV absorbance, respectively. This experiment was repeated with 4 independent specimens with similar results. FIG. 4B shows TEM images of exosome samples isolated from the explant culture of normal mouse mammary fat pad and lung tissues. This experiment was repeated independently 2 times with similar results. Scale bar, 500 nm.

FIGS. 5A-5D show characterization of physical and mechanical properties of exomeres and exosome subpopulations. Zeta potential (FIG. 5A) and stiffness (FIG. 5B) of exomeres and exosome subpopulations derived from various cancer cells were measured using Zetasizer and AFM indentation, respectively. Young's modulus was used to express particle stiffness. At least 3 and 5 replicates for each group of particles was measured for zeta potential and stiffness, respectively. Data are presented as mean±SEM. For FIG. 5A, in the order of exomere, Exo-S and Exo-L: B16-F10 (n=8, 10, and 12 independent measurements, respectively); Pan02 (n=13, 11, 13); AsPC-1 (n=12, 12, 12); 4175 (n=17, 9, 6); 4T1 (n=13, 3, 9); for FIG. 5B, B16-F10 (n=6, 6, 6 particles measured); Pan02 (n=6, 6, 6); AsPC-1 (n=21, 19, 16); 4175 (n=11, 10, 5); 4T1 (n=9, 8, 9)). FIG. 5C shows a representative AFM image of exomeres derived from B16F10. This experiment was repeated with samples derived from 3 different cell lines with similar results. FIG. 5D shows AFM imaging analysis of the height (z-dimension) of exomeres derived from B16F10 (n=754 particles analyzed), AsPC1 (n=475) and MDA-MB-4175 (n=160). Mean±SEM is depicted.

FIGS. 6A-6G show proteomic profiling of exomeres and exosome subpopulations derived from various cancer cells. FIG. 6A shows a Venn diagram of proteins identified in each subset of particles. FIG. 6B shows principal component analysis and FIG. 6C shows consensus clustering analysis of normalized proteomic mass spectrometry datasets from human (MDA-MB-4175 and AsPC1) and mouse (B16F10, 4T1, and Pan02) cell lines. FIG. 6D shows a heat map illustration of unique proteins specifically associated with exomeres, Exo-S and Exo-L. Scale shown is intensity (area) subtracted by mean and divided by row standard deviation (i.e. A (area-mean)/SD). FIG. 6E shows Western blot analysis of representative signature proteins in fractionated samples. An equal amount (10 μg) of exosome and exomere input mixture and each subset were analyzed. This experiment was done once. FIG. 6F shows a heat map illustration of the relative abundance of conventional exosome markers in exomeres, Exo-S and Exo-L. Scale shown is intensity (area) subtracted by mean and divided by row standard deviation (i.e. Δ (area-mean)/SD). FIG. 6G shows identification of top candidate gene sets enriched in exomere, Exo-S and Exo-L populations by gene set enrichment analysis (GSEA). Proteins in each subset of nanoparticles are ranked by GSEA based on their differential expression level. Whether a pre-specified pathway is significantly overrepresented toward the top or bottom of the ranked gene list in each subset of nanoparticle is evaluated using the normalized enrichment score (the green line). Black vertical lines mark the positions where the members of a particular pathway appear in the ranked list of genes. Proteins that contributed most to the enrichment score are listed below the plot. For all proteomic analysis (FIGS. 6B-6D, FIGS. 6F-6G), a total of 30 samples (3 nanoparticle subtypes derived from 5 different cell lines; and two independent biological replicates for each nanoparticle sample) were subjected to statistical analysis. Unprocessed blots are provided in FIG. 14.

FIGS. 7A-7E show proteomic profiling of exomeres and exosome subpopulations derived from multiple cancer cell lines, FIG. 7A shows principal component analysis of normalized proteomic mass spectrometry data of exomeres, Exo-S and Exo-L derived from multiple cell lines, including MDA-MB-231-4175, AsPC-1, 4T1, B16F-10 and Pan02. Two independent biological replicates were analyzed for each nanoparticle sample. FIG. 7B is a heat map illustration of the relative abundance of the Rab family proteins in exomeres, Exo-S and Exo-L. Scale shown is intensity (area) subtracted by mean and divided by row standard deviation (i.e., Δ (area−mean)/SD). FIG. 7C shows evaluation of the presence of lipoprotein-particle associated proteins (listed in Table 2) among the total proteins detected in the exomere, Exo-S and Exo-L derived from different cell lines. Results shown are mean of 2 biologically independent experiments. FIG. 7D shows TEM imaging analysis of HDL, LDL and VLDL. Scale bar, 200 nm. This experiment was done once with multiple images showing similar results. FIG. 7E shows identification of specific association of signaling pathways including hypoxia (FDR, q value=0.004), microtubule (FDR, q value=0.002) and coagulation (FDR, q value=0.013) with exomeres by GSEA (left panel) and the heat map illustration of the expression level of related proteins in different subsets of nanoparticles (right panel). A total of n=30 samples (3 nanoparticle subtypes derived from 5 different cell lines; and two independent biological replicates for each nanoparticle samples) were subjected for Kolmogorov-Smimov statistical analysis.

FIGS. 8A-8C show characterization of N-glycosylation of proteins associated with exomere, Exo-S and Exo-L. FIG. 8A shows lectin blotting analysis of N-glycan profile of proteins associated with exomeres versus exosome subpopulations Exo-S and Exo-L. Phaseolus vulgaris erythroagglutinin (E-PHNA) and Phaseolus vulgaris leucoagglutinin (L-PHA) recognize bisected and branched N-glycans, respectively. Aleuria aurantia lectin (AAL) recognizes Fucα6GlcNAc and Fucα3GlcNAc. Sambucus nigra lectin (SNA) recognizes α-2,6-linked sialic acid. All experiments were repeated independently twice with similar results except for AAL and E-PHA blotting for B16-F10 and 4175 which were done once. FIG. 8B shows mass spectrometric analysis of N-glycans of glycoproteins present in exomeres, Exo-S and Exo-L subsets of B16F10. One representative experiment of two biologically independent replicates is shown. FIG. 8C shows a comparison of the relative abundance of the top six most abundant N-glycan structures among exomere. Exo-S and Exo-L of B16F10. The assignments (m/z) [charge; neutral exchange] for MALDI-MS and nanoLC-ESI-MS/MS are the following: (2015.8 [−H; 0]; 1007.4^(a) [−2H; 0]), (2209.8 [−H; 0]; 1104.4^(a) [−2H; 0]), (2237.7^(b) [−H; Na−H]; 732.57^(a) [−3H; 0]), (2365.5^(b) [−H;4K−4H]; 783.9^(a) [−3H; 0] and 1182.4^(a,b) [−2H; 4K−4H]), and (2404.8^(b) [−H; 2K−2H]; 12010.9^(b) [−2H; 2K−2H]). Data shown were quantified and normalized to the most abundant structure in the sample. Results are represented as average of three independent analytical measurements of one representative experiment. Unprocessed blots are provided in FIG. 14. Note: ^(a)The product ion spectra for this species did not allow a complete structural assignment. ^(b)Assignments admit neutral exchanges of protons with cations in sialoglycans, including the presence of potassium and sodium.

FIGS. 9A-9J show mass spectrometric analysis of N-glycans enriched in exomeres, Exo-S and Exo-L derived from AsPC-1 and MDA-MB-231-4175. FIG. 9A shows the total protein profile content of the isolated exomere, Exo-S and Exo-L subpopulations derived from AsPC-1, MDA-MB-231-4175 and B16-F10 assessed by silver staining. This experiment was repeated independently twice for B16-F10 and 4175 with similar results and done once for AsPC-1. FIG. 9B shows the N-glycan mass spectra of particles derived from AsPC-1 (left panel) and MDA-MB-231-4175 (right panel), respectively. This experiment was done once with 3 analytic replicates with similar results. FIG. 9C and FIG. 9D shows quantification of the top six most abundant N-glycan structures identified in the study of AsPC-1 and MDA-MB-231-4175 derived particles. Data shown were quantified and normalized to the most abundant structure in the sample. Results are represented as mean of 2 and 3 independent analytical measurements for AsPC-1 for MDA-MB-231-4175, respectively. NanoHPLC-PGC-HRMS extracted ion chromatograms (EIC) and CID-MS/MS spectra for FIGS. 9E-9G the ion at m/z 1007.38(2-), corresponding to a core-fucosylated complex type N-glycan, characteristic of exomere, and FIGS. 9H-9J the ion at m/z 1111.39(2-), corresponding to a disialylated complex-type N-glycan found in all fractions of B16F10. Fragmentation analysis for extracted ion chromatogram m/z 1007.38 (2-) confirming the structure of this N-glycan in exomeres (FIG. 9E and FIG. 9G) and demonstrating the absence of this N-glycan in Exo-S (FIG. 9F). According to the relative retention time on the PGC column, exomeres contain both α2,3-linked and α2,6-linked sialoglycoforms of the ions at m/z 1111.39(2-) (FIG. 9H). The N-glycan m/z 1111.39(2-) from Exo-S showed N-glycans displaying exclusively α2,3-linked sialic acids based on PGC-LC relative retention time (FIG. 9I). This experiment (FIGS. 9E-9J) was done once.

FIGS. 10A-10C show characterization of lipid composition in exomeres and exosome subsets. FIG. 10A shows a comparison of total lipid content of each subset of nanoparticles derived from different cell lines. Total signal intensity of each sample after normalization to sample weight and internal standards was compared to that of exomeres from the same set of samples (expressed as fold change). Data are presented as mean±SEM (n=3 biologically independent samples). FIG. 10B shows the relative abundance of each lipid class present in each subset of nanoparticles from different cell lines. Data are presented as mean±SEM (n=3 biologically independent samples). FIG. 10C shows a heat map illustration of lipid classes specifically associated with exomeres, Exo-S and Exo-L (ANOVA test, q<0.05). Statistical analysis was performed on a total of 9 samples for each cell line (3 different nanoparticle subtypes and 3 independent biological repeats for each nanoparticle sample). Abbreviation: Cer, ceramide; CerG1-3, glucosylceramides; CL, cardiolipin; DG, diglyceride; LPC, lysophosphatidylcholine; LPE, lysophosphatidylethanolamine; LPG, lysophosphatidylglycerol; LPI, lysophosphatidylinositol; MG, monoglyceride; PC, phosphatidylcholine; PE, phosphatidylethanolamine; PG, phosphatidylglycerol; PI, phosphatidylinositol; PS, phosphatidylserine; SM, sphingomyelin; TG, triglyceride.

FIGS. 11A-11D show characterization of nucleic acid association with exomere and exosome subsets. FIG. 11A shows the relative abundance of DNA associated with each subpopulation of particles from representative fractionations of B16F10, AsPC1 and MDA-MB-4175. FIG. 11B shows Agilent Bioanalyzer analysis of the size distribution of DNA associated with different subsets of particles. Data shown are the electropherograms (left) and electrophoresis images (right) from a representative of two independent experiments on AsPC1-derived particles. Black arrows, internal standards (35 bp and 10380 bp). Red line, exomeres; blue line, Exo-S; green line, Exo-L. FIG. 11C shows the relative abundance of total RNA associated with each subpopulation of particles from representative fractionations of B16F10 and AsPC1. FIG. 11D shows the size distribution of RNA isolated from different fractions of B16F10. Shown are representative profiles from one of two independent experiments. For FIG. 11A and FIG. 11C, data shown are mean (n=2 biologically independent samples).

FIG. 12 shows bioanalyzer analysis of the size distribution of DNA associated with exomere, Exo-S and Exo-L derived from B16-F10 (top) and MDA-MB-231-4175 (bottom). This experiment was repeated twice independently with similar results.

FIGS. 13A-13B show organ biodistribution of B16F10-derived exomeres and exosome subpopulations in syngeneic naïve mice. FIG. 13A shows whole organ imaging of NIR dye-labeled exomeres, Exo-S and Exo-L from a representative experiment using the Odyssey imaging system (LI-COR Biosciences; n=4 independent experiments). The dynamic range of signal intensity was adjusted for each organ so that the differences among these nanoparticle subsets can be easily recognized. Scale bar, 2.5 mm. FIG. 13B shows quantification of the nanoparticle uptake in different organs in one representative experiment. This experiment was repeated independently 4 times with similar results. Signal intensity in each organ was acquired using the Image Studio (LI-COR Biosciences), and normalized to the brain from the same animal due to undetectable uptake of nanoparticles in this organ. Fold changes (y axis) were then calculated for each organ between the experimental group (i.e. input, exomere, Exo-S and Exo-L) versus the mock control. n=3 animals per group, results shown are mean±SEM. Statistical significance determined using one way ANOVA (* p<0.05; ** p<0.01, unmarked, not significant). For lymph nodes, the p value for comparison between input versus Exo-L, exomere versus Exo-L and Exo-S versus Exo-L are 0.022, 0.001 and 0.01 respectively.

FIG. 14 shows unprocessed blots for related figures in FIG. 1, FIG. 6 and FIG. 8.

FIGS. 15A-15C show a schematic illustration of the AF4 working principle. FIGS. 15A-15C show the side views of the AF4 channel, whose height is usually several hundreds of μm. The part size shown in the figure is for illustration only and not drawn to scale. FIG. 15A shows that in the Focus stage, two flows in opposing directions are pumped into the channel from the inlet and outlet ports and balanced near the injection port. Samples are injected during the Focus stage and focused in a thin band. Particles reach level heights related to their diffusion coefficients. FIG. 15B shows that in the Elution stage of the normal mode, particles with small hydrodynamic size and high diffusion coefficient are eluted at an early time point, whereas particles with large hydrodynamic size and low diffusion coefficient elute late. FIG. 15C shows that when the physical size of a particle is too large to be considered as a point mass compared to the channel height, it elutes in the Steric mode. In contrast to the Normal model as shown in FIG. 15B, large particles elute earlier than the smaller ones.

FIGS. 16A-16C show the influence of cross-flow on AF4 fractionation. FIG. 16A shows a representative AF4 fractionation profile of B16-F10 sEVs collected by applying a linear cross-flow gradient with an initial flow rate at 0.5 mL/min within 45 minutes (Peaks are marked as P0-P5; UV (red line), QELS (blue line), R_(h) (black dots)), or (FIG. 16B) with an initial flow rate at 0.3 mL/min (blue line), 0.5 mL/min (red line) or 1.0 mL/min (black line) and dropping to 0 mL/min over 45 minutes, or (FIG. 16C) with an initial flow rate at 0.5 mL/min and dropping to 0 mL/min over 15 minutes (blue), 30 minutes (black) or 45 minutes (red). Top, QELS at 100°; bottom, UV absorbance at 280 nm. The other AF4 parameters are: channel flow rate, 1.0 mL/min; channel height, 490 μm; sample focus time, 2 minutes; membrane, regenerated cellulose (RC), input amount, 40 μg.

FIG. 17 shows the effect of the channel height upon AF4 fractionation. Shown are AF4 fractionation profiles of B16-F10 sEVs collected using a channel with a spacer of 350 μm (blue) and 490 μm (red). Top, QELS at 100°; bottom, UV absorbance at 280 nm. The other AF4 parameters are: channel flow rate, 1.0 mL/min; a linear gradient of cross-flow decreasing from 0.5 mL/min to 0 mL/min over 45 minutes; sample focus time, 2 minutes; membrane, regenerated cellulose (RC), input amount, 40 μg.

FIG. 18 shows the effect of the focus time upon AF4 fractionation. Shown are AF4 fractionation profiles of B16-F10 sEVs collected using a sample focus time of 2 minutes (red), 5 minutes (blue) or 10 minutes (black). Top, QELS at 100°; bottom, UV absorbance at 280 nm. The other AF4 parameters are: channel flow rate, 1.0 mL/min; a linear gradient of cross-flow decreasing from 0.5 mL/min to 0 mL/min over 45 minutes; channel height, 490 μm; membrane, regenerated cellulose (RC), input amount, 40 μg.

FIG. 19 shows examination of the sample (B16-F10 sEVs) loading capacity for AF4 analysis. Shown are AF4 fractionation profiles of B16-F10 sEVs with an input of 15 μg (black), 40 μg (red); 100 μg (blue), or 150 μg (green). Top, QELS at 100°; bottom, UV absorbance at 280 nm. The other AF4 parameters are: channel flow rate, 1.0 mL/min; a linear gradient of cross-flow decreasing from 0.5 mL/min to 0 mL/min over 45 minutes; channel height, 490 μm; sample focus time, 2 minutes; membrane, regenerated cellulose (RC).

FIG. 20 shows a comparison of the AF4 performance for separating EVs using different membranes: regenerated cellulose (RC, red) versus poly(ether)sulfone (PES, blue). B16-F10 sEVs were analyzed using the following AF4 parameters: channel flow rate, 1.0 mL/min; a linear gradient of cross-flow decreasing from 0.5 mL/min to 0 mL/min over 45 minutes; channel height, 490 μm; sample focus time, 2 minutes; input amount, 40 μg. Top, QELS at 100°; bottom, UV absorbance at 280 nm.

FIGS. 21A-21B show a schematic illustration of the overall procedure and the flow route of AF4. FIG. 21A shows the overview of experimental design for cell culture-derived sEV isolation and AF4 fractionation. FIG. 21B is an illustration of the AF4 flow route and arrangement of online detectors.

FIGS. 22A-22C shows representative AF4 fractionation analysis of B16-F10 sEVs. Shown are representative AF4 fractionation profile of B16-F10 sEVs (FIG. 22A) and autocorrelation functions at specific time points (FIG. 22B). FIG. 22C shows TEM imaging analysis of combined fractions for peaks P2 (exomere), P3 (Exo-S), and P4 (Exo-L). Scale bar, 200 nm. Colored arrows point to representative particles in each subpopulation.

FIGS. 23A-23B show gene expression analysis of the livers from mice 24 hours post injection of B16-F10 derived exomeres, Exo-S and Exo-L, in comparison with PBS control. 10 μg of exomeres, Exo-S. and Exo-L, and equal volume of PBS were intravenously injected into C57Bl/6 mice, respectively. The livers of the mice were collected for RNA extraction and sequencing analysis 24 hours post injection. The total numbers of genes that are differently expressed in each comparison group are listed in FIG. 23A, and Clustering analysis of top 2000 genes that are significantly changed in comparison with the PBS control are shown in FIG. 23B. n=3 per group.

FIGS. 24A-24B show a heatmap illustration of the top 50 upregulated genes (FIG. 24A) and top 50 downregulated genes (FIG. 24B) in the livers of mice treated with exomere, Exo-S or Exo-L, compared with the PBS control group. n=3 per group.

FIGS. 25A-25E show Ingenuity Pathway Analysis (IPA) of differently expressed genes in the livers of mice 24 hours post injection of B16-F10 derived exomeres. Exo-S and Exo-L, in comparison with PBS control. Shown are representative top pathways that are significantly affected between Exomere and PBS (FIG. 25A), Exo-S and PBS (FIG. 25B), Exo-L and PBS (FIG. 25C), Exomere and Exo-S (FIG. 25D), and Exomere and Exo-L (FIG. 25E).

FIGS. 26A-26C show metabolic mass spectrometry analysis of the livers from mice treated with B16-F10-derived exomeres, Exo-S and Exo-L, compared with PBS control. Metabolites whose abundance were significantly changed are identified using unpaired t test (FIG. 26A) and one-way ANOVA analysis (FIGS. 26B-26C) (metabolites differently detected in each group via one-way ANOVA are shown as specific individual data points in (FIG. 26B), or as clusters highlighted in boxes in (FIG. 26C)). n=3 mice per group.

FIGS. 27A-27B shows that metabolites that are upregulated or downregulated in all three groups of exomeres, Exo-S and Exo-L-treated mouse livers in comparison with the PBS control were identified via one-way ANOVA analysis, and the changes in their abundance are displayed in FIG. 27A and FIG. 27B, respectively. n=3 mice per group.

FIGS. 28A-28C show a demonstration of representative metabolites that are specifically upregulated in exomeres (FIG. 28A), Exo-S (FIG. 28B), and Exo-L (FIG. 28C), respectively, compared with the PBS control group. n=3 mice per group.

FIG. 29 shows an immunofluorescence colocalization study that revealed that kupffer cells, the liver resident macrophages, are the primary cell type that uptakes B16-F10 melanoma-derived exomeres. Exomeres that are labeled with green fluorescent lipophilic PKH67 dye or the mock labeling reaction mixture were injected intravenously into naïve, syngeneic C57BL/6 mice and 24 hours post injection, the livers were harvest and fixed for immunofluorescence colocalization analysis. n=3 mice per group. F4:80 was stained (in red) to identify the macrophages in the liver.

DETAILED DESCRIPTION OF THE INVENTION

A first aspect of the present invention is directed to a method of diagnosing cancer in a subject. This method involves selecting a subject having cancer and obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm. The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Cancer is then diagnosed based on the contacting step.

Another aspect of the present invention is directed to a method of prognosing cancer in a subject. This method involves selecting a subject having cancer and obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm. The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Cancer is then prognosed based on the contacting step.

Another aspect of the present invention is directed to a method of managing treatment in a subject. This method involves selecting a subject undergoing treatment for cancer and obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm. The exomeres, small exosomes, or large exosomes are recovered from the sample, and the exomeres, small exosomes, or large exosomes or portions thereof are contacted with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof. Treatment is then modified based on the contacting step.

Cancer prognosis as described herein includes determining the probable progression and course of the cancerous condition, and determining the chances of recovery and survival of a subject with the cancer, e.g., a favorable prognosis indicates an increased probability of recovery and/or survival for the cancer patient, while an unfavorable prognosis indicates a decreased probability of recovery and/or survival for the cancer patient. A subject's prognosis can be determined or modified by the availability of a suitable treatment (i.e., a treatment that will increase the probability of recovery and survival of the subject with cancer). Accordingly, another aspect of the present invention includes selecting a suitable cancer therapeutic based on the determined prognosis and administering the selected therapeutic to the subject.

Prognosis also encompasses the metastatic potential of a cancer. For example, a favorable prognosis based on the presence or absence of a protein, N-glycan, lipid, and/or genetic phenotype can indicate that the cancer is a type of cancer having low metastatic potential, and the patient has an increased probability of long term recovery and/or survival. Alternatively, an unfavorable prognosis, based on the presence or absence of a protein, N-glycan, lipid, and/or genetic phenotype can indicate that the cancer is a type of cancer having a high metastatic potential, and the patient has a decreased probability of long term recovery and/or survival.

Prognosis further encompasses prediction of sites of metastasis, determination of the stage of the cancer, or identifying the location of a primary tumor in a subject.

A change in the levels of certain proteins, N-glycans, lipids, and/or the mutational status of genes associated with cancer (e.g., BRAF and/or EGFR) indicates that a cancer is present or a change in the cancer phenotype has occurred with disease progression. For example, detecting the presence or a genetic mutation in an exomere, small exosomal, or large exosomal dsDNA sample from a subject whereas no genetic mutation was detected in an earlier exomere, small exosomal, or large exosomal dsDNA sample obtained from the same subject, can be indicative of a particular site of metastasis or progression to a more advanced stage of the cancer. Therefore, periodic monitoring of exomere, small exosomal, or large exosomal dsDNA mutational status provides a means for detecting primary tumor progression, metastasis, and facilitating optimal targeted or personalized treatment of the cancerous condition.

The detection of certain proteins, N-glycans, lipids, and/or exomere, small exosomal, or large exosomal dsDNA mutations in a metastatic cancer sample can also identify the location of a primary tumor. For example, the detection of one or more BRAF mutations in a metastatic tumor or cancer cell-derived exomere, small exosomal, or large exosomal sample can indicate that the primary tumor or cancer was melanoma or a form of brain cancer, e.g. glioblastoma. The detection of one or mom EGFR mutations in a metastatic tumor or cancer cell derived exomere, small exosomal, or large exosomal dsDNA sample indicates that the primary tumor originated in the lung, or alternatively the primary cancer was head and neck cancer, ovarian cancer, cervical cancer, bladder cancer, or esophageal cancer.

As described above, another aspect of the present invention is directed to a method of managing treatment of a subject having cancer. In accordance with this aspect, cancer treatment is modified based on the contacting step.

In accordance with all aspects of the present invention, a “subject” or “patient” encompasses any animal, but preferably a mammal, e.g., human, non-human primate, a dog, a cat, a horse, a cow, or a rodent. More preferably, the subject or patient is a human. In some embodiments of the present invention, the subject has cancer, for example and without limitation, melanoma, breast cancer, or pancreatic cancer. In some embodiments, the cancer is a primary tumor, while in other embodiments, the cancer is a secondary or metastatic tumor.

“Exosomes” are microvesicles released from a variety of different cells, including cancer cells (i.e., “cancer-derived exosomes”). These small vesicles (50-100 nm in diameter) derive from large multivesicular endosomes and are secreted into the extracellular milieu. The precise mechanisms of exosome release/shedding remain unclear; however, this release is an energy-requiring phenomenon, modulated by extracellular signals. They appear to form by invagination and budding from the limiting membrane of late endosomes, resulting in vesicles that contain cytosol and that expose the extracellular domain of membrane-bound cellular proteins on their surface. Using electron microscopy, studies have shown fusion profiles of multivesicular endosomes with the plasma membrane, leading to the secretion of the internal vesicles into the extracellular environment. The rate of exosome release is significantly increased in most neoplastic cells and occurs continuously. Increased release of exosomes and their accumulation appear to be important in the malignant transformation process.

As described herein, two exosome subpopulations (i.e., Exo-S and Exo-L) have been identified. “Exo-S”, as used herein, refers to a population of small exosomes having a diameter of 60 to 80 nm, an average surface charge of −9.0 mV to −12.3 mV, and a particle stiffness of 70 to 420 mPa. Exo-S are also enriched in genes involved in membrane vesicle biogenesis and transport, protein secretion and receptor signaling “Exo-L”, as used herein, refers to a population of large exosomes having a diameter of 90 to 120 nm, an average surface charge of −12.3 to −16.0 mV, and a particle stiffness of 26 to 73 mPa. Exo-L are also enriched in genes involved in the mitotic spindle, IL-2/Stat5 signaling, multi-organism organelleorganization, and G-protein signaling.

In addition to Exo-S and Exo-L subpopulations, a novel extracellular nanoparticle has also been identified. As used herein, the term “exomere” refers to a non-membranous nanoparticle having a diameter of less than 50 nm, often approximately 35 nm, an average surface charge of −2.7 mV to −9.7 mV, and a particle stiffness of 145 to 816 mPa. Exomeres are enriched in metabolic enzymes and hypoxia, microtubule and coagulation proteins as well as proteins involved in glycolysis and mTOR signaling

In accordance with the methods of the present invention, exomeres, small exosomes, and large exosomes can be isolated or obtained from most biological fluids including, without limitation, blood, serum, plasma, ascites, cyst fluid, pleural fluid, peritoneal fluid, cerebrospinal fluid, tears, urine, saliva, sputum, nipple aspirates, lymph fluid, fluid of the respiratory, intestinal, and genitourinary trances, breast milk, intra-organ system fluid, conditioned media from tissue explant culture, or combinations thereof.

A population of either exomeres, small exosomes or large exosomes can be obtained from a biological sample using methods described herein. For example, exomeres, small exosomes, or large exosomes may be concentrated or isolated from a biological sample asymmetric flow field-flow fractionation (AF4) (Fraunhofer et al., “The Use of Asymmetrical Flow Field-Flow Fractionation in Pharmaceutics and Biopharmaceutics,” European Journal of Pharmaceutics and Biopharmaceutics 58:369-383 (2004); Yohannes et al., “Asymmetrical Flow Field-Flow Fractionation Technique for Separation and Characterization of Biopolymers and Bioparticles,” Journal of Chromotography. A 1218:4104-4116 (2011)).

Exomeres, small exosomes, or large exosomes isolated from a bodily fluid (i.e., peripheral blood, cerebrospinal fluid, urine) can be enriched for those originating from a specific cell type, for example, lung, pancreas, stomach, intestine, bladder, kidney, ovary, testis, skin, colorectal, breast, prostate, brain, esophagus, liver, placenta, and fetal cells. Because the exomeres, small exosomes, or large exosomes often carry surface molecules such as antigens from their donor cells, surface molecules may be used to identify, isolate or enrich for exomeres, small exosomes, or large exosomes from a specific donor cell type. In this way, exomeres, small exosomes, or large exosomes originating from distinct cell populations can be analyzed for their nucleic acid content, For example, tumor (malignant and non-malignant) exosomes carry tumor-associated surface antigens and these exosomes can be isolated or enriched via these specific tumor-associated surface antigens. In one example, the tumor-associated surface antigen is epithelial-cell-adhesion-molecule (EpCAM), which is specific to exosomes from carcinomas of lung, colorectal, breast, prostate, head and neck, and hepatic origin, but not of hematological cell origin (Balzar et al., “The Biology of the 17-1A Antigen (Ep-CAM),” J Mol Med 77(10): 699-712 (1999); Went et al. “Frequent EpCam Protein Expression in Human Carcinomas,” Hum Pathol 35(1): 122-8 (2004), which are hereby incorporated by reference in their entirety). In another example, the surface antigen is CD24, which is a glycoprotein specific to urine microvesicles (Keller et al. “CD24 is a Marker of Exosomes Secreted into Urine and Amniotic Fluid,” Kidney Int 72(9): 1095-102 (2007), which is hereby incorporated by reference in its entirety). In yet another example, the surface antigen is CD70, carcinoembryonic antigen (CEA), EGFR, EGFRvIII and other variants, Fas ligand, TRAIL, transferrin receptor, p38.5, p97 and HSP72. Alternatively, tumor specific exosomes may be characterized by the lack of surface markers, such as the lack of CD80 and CD86 expression.

The isolation of exomeres, small exosomes, or large exosomes from specific cell types can be accomplished, for example, by using antibodies, aptamers, aptamer analogs, or molecularly imprinted polymers specific for a desired surface antigen. In one embodiment, the surface antigen is specific for a cancer type. In another embodiment, the surface antigen is specific for a cell type which is not necessarily cancerous. One example of a method of exosome separation based on cell surface antigen is provided in U.S. Pat. No. 7,198,923, which is hereby incorporated by reference in its entirety. As described in, e.g., U.S. Pat. No. 5,840,867 to Toole and U.S. Pat. No. 5,582,981 to Toole, which are hereby incorporated by reference in their entirety, aptamers and their analogs specifically bind surface molecules and can be used as a separation tool for retrieving cell type-specific exosomes. Molecularly imprinted polymers also specifically recognize surface molecules as described in, e.g., U.S. Pat. Nos. 6,525,154, 7,332,553 and 7,384,589, which are hereby incorporated by reference in their entirety, and are a tool for retrieving and isolating cell type-specific exosomes. These methods can be adapted for use in isolating exomeres, small exosomes, or large exosomes.

In accordance with this aspect and other aspects of the invention, the recovered exomeres, small exosomes, or large exosomes are then contacted with one or more reagents suitable to detect higher or lower levels, relative to a standard for subjects not having cancer or to a prior sample from a subject having cancer, or the presence or absence of one or more proteins in the exomere, small exosome, or large exosome sample.

For purposes of prognosing or managing treatment of cancer, a subject is selected that has or is undergoing treatment for cancer.

In one embodiment, exomeres are recovered from the sample and the method is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of PP1D, GANAB, MAT1A, CPYD, FAT4, GMPPB, ERP44, CALR, GPD1, BZW1, PFKL, OLFML3, HGD, LGALS3BP, GCLC, PEPD, MTH4FD1, PGD, ACTR3, XPNPEP1, UGP2, SNX2, ALDOC, SEPT11, HSPA13, AARS, SERPINH1, CNDP2, PDE5A, AGL, EXT1, IDH1, SERPINC1, RRM1, CKB, HMGCS1, HPD, PSMC4, NPEPPS, CAT, EXT2, CORO1C, B4GAT1, RACK1, MAPRE1, PGM1, PD1A3, ADK, SHMT1, ACO1, GSN, ESD, PPP2R1A, ALDH1L1, OLA1, ACLY, EEF1G, FLNB, PSMD11, ANGPTL3, FERMT3, PYGL, MDH1, and EIFA2.

In another embodiment, small exosomes are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of TTYH3, FLOT1, FLOT2, TSPAN14, LAMC1, CD63. MVB12A, ZDHHC20, VAMP3, VPS37B, ARRDC1, and TGFBR2.

In a further embodiment, large exosomes are recovered from the sample and the method is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SQSTM1, STIP1, HINT1, WASF2, RASA3, EPB41L2, GIPC1, S100A10, MPP6, KIF23, RACGAP1, ANXA5, CASK, DLG1, TJP1, BAG5, TXN, ABI1, ANXA1, CAPG, DB1, S100A6, CHMP2B, CHMP3, ANXA2, MYO1C, ANXA4, SNX12, LIN7C, STXBP3, CEP55, ALCAM, VCL, CHMP1A, FARP1, ACSL4, BA1AP2, SH3GL1, DSTN, LGALS1, CYF1P1, CTNNA1, RAB31, ARF6, SLC1A5, EPS8, FMNL2, PGAM1, CNP, CHMP4B, ANXA3, VPS4B, GNG12, PACSIN3, GLG1, VTA1, LYN, VPS37C, CHMP5, F3, DNAJA1, RHOC, GNA13, CHMP2A, ATP2B1, RDX, ATP1B1, CAPZB, EHD1, DNAJA2, and CTNND1.

The methods described herein may be performed to diagnose, prognose, or manage treatment of specific types of cancer. For example, in some embodiments, melanoma, breast cancer, or pancreatic cancer may be diagnosed or prognosed. In other embodiments, treatment of melanoma, breast cancer, or pancreatic cancer may be modified.

In one embodiment, the method is performed to diagnose, prognose, or manage treatment of melanoma. For purposes of prognosing or managing treatment of melanoma, a subject is selected that has or is undergoing treatment for melanoma.

According to this embodiment, exomeres are recovered from the sample and the method is carried out by detecting, higher or lower levels, relative to a standard for subjects not having melanoma or to a prior sample from the subject, or the presence or absence, of one or more of the proteins selected from the group consisting of ITIH2, ITIH3, H2AFX, PMEL, MAT1A, HPD, ALB, B4GAT1, ARF1, GCLC, HGD, PPP2CB, PAH, AGL, RNPEP, PPID, BZW1, ME1, DPYD, CA6, OLFML3, NPEPPS, PREP, ERP44, RELN, GPD1, GFPT1, CNDP2, PFKL, ALDH8A1, ATP6V1A, ENO2, THBS3, CORO1C, EXT1, CAT, XPNPEP1, PYGL, CALR, and LGALS3BP.

In another embodiment, small exosomes are recovered from the sample and the method is carried by detecting, higher or lower levels, relative to a standard for subjects not having melanoma or to a prior sample from the subject, or the presence or absence, of one or more of the proteins selected from the group consisting of TYRP1, SDCBP, SDCBP, CD63, IGSF8, HSPA8, MLANA, HBA1/HBA2, GPNMB, DCT, HSPA2, HSPA1L, HSPA5, Fv4, PDCD61P, RAB7A, ENV1, CD81, GNB1, SYT4, GNB2, HIST1H2AH, GNA12, GAPDH, APOE, BC035947, Hist1h2a1, ACTG1, ACTB, GNB4, GNA13, SLC3A2, ACTC1, GNAS, SLC38A2, HIST2H2BF, ATP1A1, TFRC, TMEM176B, VAMP8, TSPAN10, ADGRG1, Hist1h4a, PMEL, UBL3, PP1A, ACTBL2, CD9, BACE2, and TSPAN4.

In a further embodiment, large exosomes are recovered from the sample and the method is carried out by detecting, higher or lower levels, relative to a standard for subjects not having melanoma, or the presence or absence, of one or more of the proteins selected from the group consisting of HSPA8, TYRP1, SDCBP, HSPA2, RPS27A, HSPA1L, MLANA, HSPA5, CD63, IGSF8, GPNMB, Fv4, ENV1, PDCD61P, HSPA1A/HSPA1B, DCT, ACTG1, ACTB, PP1A, SLC3A2, ACTC1, CD81, ITM2C, RAB7A, GNB1, TSPAN4, DNAJA1, GNB2, TFRC, HBA1/HBA2, GNA12, SYT4, GAPDH, APOE, PMEL, MFGE8, GNB4, GNA13, GNAO1, DNAJA2, ATP1A1, ITGB1, TMEM59, SLC38A2, GNA12, ITM2B, GNAS, HIST1H2AH, LAMP1, and EEF1A1.

In another embodiment, the method is performed to diagnose, prognose, or manage treatment of breast cancer. For purposes of prognosing or managing treatment of breast cancer, a subject is selected that has or is undergoing treatment for breast cancer.

According to this embodiment, exomeres are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having breast cancer or to a prior sample from the subject, or the presence or absence, of one or more of the proteins selected from the group consisting of FGB, HIST2H2AB, COMP, HIST1H2BJ, C7, GSTA5, ENO3, ARF3, SULT1C4, E1F4A2, MAT1A, GNB2, UGDH, AKR1B10, MTHFD1, CTSC, DPP3, RPSA, OTUB1, ALDH8A1, F11, CTPS2, MGAT1, HYH1, LGALSL, GSTM3, GSTM5, PSMC1, F8, PRKAR2B, RPL10A, HNRNPK, SEMA6D, SNX5, IARS, LCP2, ARPC4, PPP6C, PSMD6, PTPRS, TIE1, PSMD8, PABPC4, RPS18, CHAD, IPO5, FABP3, GALNT2, QPCT, STAT5A, SEMA3A, NTSC2, IDE, STAT3, DPYSL3, PDXK, ARF5, PSMD5, GNE, NBEAL2, FHL1, TIMP3, POSTN, MAPRE2, IT1H3, C3, ENO2, PPID, O1T3, CAND1, SEPT2, UBE2N, DPYSL2, CKB, PTGES3, DSTN, PKLR, THBS3, RAP1B, HIST2H2AB, ACTBL2, TUBB2A, F10, CNTN1, HPD, ACE, EML2, HSPA13, TNXB, HEXB, CALR, ADH5, GPX1, CFL2, KRT76, TCP1, COTL1, DYNLL1, HGD, ALDOC, EPRS, GLO1, MAN2A1, FLT4, NAP1L4, RARS, HMGCS1, GANAB, SEPT7, FKBP4, COL12A1, ADSL, AKR1C20, VASN, DDX39B, ME1, COMT, ALDH1A1, EIF4A3, CDH11, PRPS113, PNPEP, NPEPPS, SEPT11, CMBL, PSMD1, ACTR1B, PSMD3, GCLC, FAT4, LPL, GPD1L, GCLM, VARS, PHPT1, CACNA2D1, SEPT9, GLRX3, AARS, GMPPB, SNX2, GLOD4, PTPRF, CSAD, PXDN, AGL, DPYD, PRKACB, LARS, PPID, LTA4H, PSMD7, CAPNS1, ETF1, IARS, VPS35, TKFC, HYOU1, PGM2, TKT, HMCN1, CYB5R3, GPS1, UMPS, SND1, RTCB, RPL26, CARM1, PLCG2. P4HA2, CORO6, GMPS, IGSF8, PPP1R7, T1MP3, UXS1, DNM2, MEMO1, RPS3, ARHGD1A, PTGES3, NRP2, RAB1A, HBG2, and YWHAQ.

In another embodiment, small exosomes are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having breast cancer or to a prior sample from the subject, or the presence or absence, of one or more of the proteins selected from the group consisting of SDCBP, HIST1H2BN, HIST1H2AH, HBA1/HBA2, ITGB1, Hist1h4a, PDCD61P, HIST3H-2BB, H2AFX, CD9, CD63, ITGA3, IT1H2, MFGE8, H2AFZ, PTGFRN, Hist1h3b, HSPA8, ACTG1, ACTB, ARRDC1, ACTC1, IT1H3, IGSF8, GSN, TUBA4A, HiST1H1D, TUBA1A, HIST1H1C, THBS, HSPA2, ENO1, MVB12A, HTRA1, GAPDH, Hist1h1e, VPS28, TSG101, TUBB, TUBB4A, RAP1B, PFN1, CD81, VPS37B, TUBB6, RAP1A, EPCAM, Hist1h1b, PP1A, ADAM10, HBA1, HIST1H2BK, A2M, ED1L3, SDCBP, MFGE8, GSN, HIST2H2AC, HIST1H2AC, H2AFX, ACTB, THBS1, IT1H4, TUBB, TUBB2A, TUBB4B, F10, H2AFZ, TUBB4A, TUBB6, TUBB1, HSPA8, CD9, CD81, GAPDH, PFN1, HIST1H4A, HSP90AA1, HSP90AB1, HSPA2, HIST2H3A, PGK1, THBS2, EEF1A1, GPX3, ITGB1, PP1A, PDCD61P, EEF1A2, FBLN1, AT1C, CPNE8, TLN1, HSPA5, PKM, HIST1H1C, WDR1, RAN, PYGL, and ITGA3.

In a further embodiment, large exosomes are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having breast cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of PDCD61P, SDCBP, EHD1, ITGB1, S100A6, ITGA3, CD9, VPS37C, Hist1h4a, RAP1B, CTNNA1, MSN, HIST1H2AH, ITGA2, PTGFRN, ACTG1, HIST1H2BN, Calm1, EPCAM, ITGA6, YWHAE, HSPA1A/HSPA1B, GNB1, SLC3A2, GNB2, EHD2, H2AFX, PP1A, NT5E, VPS4B, GNB4, Cdc42, SLC1A5, GNA12, CFL1, YWHAH, EEF1A1, YWHAB, Hist1h3b, TSG101, YWHAG, ANXA5, GNA13, F5, H3F3A/H3F3B, CHMP4B, HSPA5, EZR, GAPDH, CD81, ED1L3, HBA1/HBA2, UBC, SDCBP, HSPA8, ITGB1, CD9, HSPA2, ACTC1, ACTB, ACTG1, PDCD61P, AFP, HBG2, ANXA2, ITGA3, HIST1H2BK, GAPDH, CD81, SLC3A2, GNA12, GNA13, GNA11, ATP1A1, HIST2H2AC, CPNE8, IST1, PFN1, TUBA4A, H2AFX, TUBA1C, HSPA5, YWHAZ, ENO1, ANXA5, GNAS, DNAJA1, CHMP5, EEF1A1, RHOA, KRT1, CEP55, GNB1, ACTBL2, ITGA2, EPHA2, GNA13, PP1A, RAP1A, and CD59.

In another embodiment, the method is performed to diagnose, prognose, or manage treatment of pancreatic cancer. For purposes of prognosing or managing treatment of pancreatic cancer, a subject is selected that has or is undergoing treatment for pancreatic cancer.

According to this embodiment, exomeres are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having pancreatic cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SULT1E1, PKLR, ENO2, AKR1B1, FH, MGAT2, GPX1, DPP3, SEMA4B, GPD1, CSAD, NCAM1, PCMT1, NARS, THOP1, UMPS, PDE5A, CACNA2D1, TIE1, CDH11, AOX1, F8, GLB1, RPL10A, ACAP2, UXS1, ADSL, BMP1, PSMD3, LANCL1, GLO1, PPP2CA, ESD, PSMD5, FARSB, PAFAH1B1, SNX5, XPO1, MAPRE1, APRT, NEO1, GBA, THBS1, PYGL, THBS2, FAT4, CNTN1, AKR1C20, E1F4A2, ESD, BPGM, VASN, MAT1A, MAT2A, PFKL, CLIC5, HGD, GLOD4, AGL, PLEKHB2, CLSTN1, ST13, CMBL, AKR1E2, PRKAR2A, GPD1, LGALSL, GLA, IL1RAP, GMPPB, PCSK6, SEPT9, PSMC6, FYN, PAFAH1B1, VPS37C, CTNND1, NRBP1, ERP44, SHMT1, DARS, ADSL, GCLM, ALDOC, EPHA4, PEPD, CKB, PCMT1, UGDH, PRKAR1A, and GNAS.

In another embodiment, small exosomes are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having pancreatic cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SDCBP, PDCD61P, HSPA8, IGSF8, CD9. PTGFRN, ACTC1, LY6E, ACTB, MFGE8, HSPA2, CD81, ITGA3, ITGB1, IT1H2, VPS28, CD63, HTRA1, ENV1, Fv4, GSN, ENO1, ED1L3, MVB12A, IF1TM3, SERPINC1, ACTBL2, TUBA4A, PP1A, HSPA1A/HSPA1B, HSPA5, GAPDH, TSG101, TUBB, PLEKHB2, TUBA1C, TUBB4B, PFN1, GPC1, GJA1, EHD1, GNB2, TSPAN4, GNAI2, SLC3A2, VPS37B, GNA13, RAB7A, EEF1A1, GNAS, ALB, HBA1/HBA2, CD9, UBC, SDCBP, F2, ACTG1, ACTB, CD59, ACTC1, ACTA2, A2M, HIST1H2BK, HIST1H2BJ, ISPA8, TSPAN3, HIST2H2AC, CD55, H3F3A/H3F3B, HIST2H3PS2, PDCD61P, ITGB1, POTEJ, SERINC5, H2AFZ, ARRDC1, CLDN3, NT5E, EPCAM, CDH17, ATP1A1, ALPPL2, HIST2H2AB, ALPP, HSPA2, TSPAN8, MVP, ADAM10, THBS1, VNN1, ITGAV, IGSF8, MYOF, ATP1A2, AHCY, GSN, TSPAN1, PP1A, SDCBP2, and HSPA5.

In a further embodiment, large exosomes are recovered from the sample and the method is carried out to by detecting, higher or lower levels, relative to a standard for subjects not having pancreatic cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of ACTC1, ACTG1, ACTB, MFGE8, ITGB1, IHSPA8, ITGA3, SDCBP, GAPDH, LGALS1, ENV1, Fv4, YWHAZ, PP1A, GNB1, GNA12, GNB2, ACTBL2, GNA13, CFL1, Marcks, GNAS, EEF1A1, ENO, BSG, Calm1, S100A4, MSN, EZR, RDX, PTGFRN, PKM, SLC3A2, HBA1/HBA2, ED1L3, GNA13, RHOA, RHOC, S100A6, YWHAE, ALDOA, PDCD61P, PFN1, HSP90AB1, YWHAQ, ANXA1, ANXA2, ATPIA1, ITGA6, UBC, HBA1/HBA2, CD9, ACTG1, ACTB, CD59, MVP, SDCBP, ACTC1, ACTA2, HIST1H2BK, HIST2H2AC, ALB, HSPA8, HIST1H2BJ, CD55, H3F3A, TSPAN3, HIST2H3PS2, POTEJ, DPP4, NT5E, EPCAM, VNN1, H2AFZ, ITGB1, ALPPL2, HIST2H2AB, ATP1A1, ALPP, IST1, PDCD61P, MUC13, ANXA11, HSPA2, CDH17, GPA33, ANXA2, S100A6, ATP1A2, PP1A, EGFR, TSPAN8, MYOF, GNA11, GNA12, GNA13, S100A4, CLDN3, and A2M.

The one or more protein levels are compared to a “standard” level of the same one or more proteins to identify a subject as one that has cancer or is at risk for metastatic disease. In one embodiment, the standard level of a protein is the average expression level of the protein in exomere, small exosomal, or large exosomal samples taken from a cohort of healthy individuals (i.e., the average level in non-cancerous exomere, small exosomal, or large exosomal samples). In another embodiment, the standard level is the average level of the marker in exomere, small exosomal, or large exosomal samples taken from individuals having a primary tumor, e.g., a gastrointestinal tumor that never metastasized to the liver or other organ of the body. In another embodiment, the standard level of a protein is the level of the protein in an exomere, small exosomal, or large exosomal sample taken from the subject being tested, but at an earlier time point (e.g., a pre-cancerous time point).

In accordance with all aspects of the present invention, a “higher level” refers to an expression level (i.e., protein or gene expression level) that is higher than the standard level. For example, a higher expression level is at least 50% higher than the standard expression level. A “lower level” refers to an expression level (i.e., protein or gene expression level) that is lower than the standard level. For example, a lower expression level is at least 50% lower than the standard expression level.

In accordance with this aspect and other aspects of the invention relating to detecting higher or lower levels or the presence or absence of one or more proteins in the sample, suitable methods for detecting proteins include, but are not limited to, measuring RNA expression level and measuring protein expression levels. These methods are commonly used in the art. For measuring protein expression levels, this method generally involve contacting the sample with one or more detectable reagents that is suitable for measuring protein expression, e.g., a labeled antibody or a primary antibody used in conjunction with a secondary antibody, and measuring protein expression level based on the level of detectable reagent in the sample after normalizing to total protein in the sample. Suitable methods for detecting protein expression level in an exosome sample that are commonly employed in the art include, for example and without limitation, western blot, immunoprecipitation, enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), or fluorescent activated cell sorting (FACS). The measured protein expression level in the sample is compared to the protein expression level measured in a reference exosomal sample and the type of metastatic disease is identified based on this comparison.

Measuring gene expression by quantifying mRNA expression can be achieved using any commonly used method known in the art including northern blotting and in si/u hybridization (Parker et al., “mRNA: Detection by in Situ and Northern Hybridization,” Methods in Molecular Biology 106:247-283 (1999), which is hereby incorporated by reference in its entirety); RNAse protection assay (Hod et al., “A Simplified Ribonuclease Protection Assay,” Biotechniques 13:852-854 (1992), which is hereby incorporated by reference in its entirety); reverse transcription polymerase chain reaction (RT-PCR) (Weis et al., “Detection of Rare mRNAs via Quantitative RT-PCR,” Trends in Genetics 8:263-264 (1992), which is hereby incorporated by reference in its entirety); and serial analysis of gene expression (SAGE) (Velculescu et al., “Serial Analysis of Gene Expression,” Science 270:484-487 (1995); and Velculescu et al., “Characterization of the Yeast Transcriptome,” Cell 88:243-51 (1997), which is hereby incorporated by reference in its entirety).

In other embodiments, the exomeres, small exosomes, or large exosomes are then contacted with one or more reagents suitable to detect higher or lower levels, relative to a standard for subjects not having cancer or to a prior sample from a subject having cancer, or the presence or absence of one or more N-glycans in the exomere, small exosome, or large exosome sample.

For purposes of prognosing or managing treatment of cancer, a subject is selected that has or is undergoing treatment for cancer.

In accordance with this embodiment, exomeres are recovered from the sample and the method is carried out by detecting N-glycans selected from the group consisting of N-glycan (Fucose)+GlcNAcβ1-6(GlcNAcβ1-2)Manα1-6(GlcNA β1-4(GlcNAcβ1-2)Manα1-3)Manβ1-4GlcNAcβ1-4(Fucα1-6)GlcNAeβ1-Asn and N-glycan (Fucose)+Neu5Acα2-8Neu5Acα2-3Galβ1-3/4GlcNAcβ1-2Manα1-3(Manα1-3(Manα1-6))Manα1-6)Manβ1-4GlcNAcβ1-4GlcNAcβ1-Asn.

In another embodiment, small exosomes are recovered from the sample and the method is carried out by detecting N-glycans.

In a further embodiment, large exosomes are recovered from the sample and the method is carried out by detecting N-glycans.

Methods of analyzing glycoproteins are well known in the art. For example, as a first step, the nanoparticles are lysed and total protein is collected, which contains glycoproteins of interest. The complex carbohydrate portion of the glycoproteins may be readily analyzed if desired, by conventional techniques of carbohydrate analysis. For example, techniques such as lectin blotting, which is well-known in the art, reveal proportions of terminal mannose or other sugars such as galactose. Termination of mono-, bi-, tri-, or tetra-antennary oligosaccharide by sialic acids can be confirmed by release of sugars from the protein using anhydrous hydrazine or enzymatic methods and fractionation of oligosaccharides by ion-exchange or size exclusion chromatography or other methods well-known in the art. The isoelectric point (pi) of the glycoprotein can also be measured, before and after treatment with neuraminidase to remove sialic acids. An increase in pi following neuraminidase treatment indicates the presence of sialic acids on the glycoprotein.

The carbohydrates can be analyzed by any method known in the art including those methods described herein. Several methods are known in the art for glycosylation analysis and are useful in the context of the present invention. Such methods provide information regarding the identity and the composition of the oligosaccharide. Methods for carbohydrate analysis useful in the present invention include but are not limited to lectin chromatography; HPAEC-PAD, which uses high pH anion exchange chromatography to separate oligosaccharides based on charge; NMR; Mass spectrometry; HPLC; GPC; monosaccharide compositional analysis; sequential enzymatic digestion.

In some embodiments, as described in the Examples herein, glycoproteins extracts are reduced, alkylated and digested with sequencing-grade, modified trypsin (Promega) using a standard proteomics protocol (Ferreira et al., “Synthesis and Optimization of Lectin Functionalized Nanoprobes for the Selective Recovery of Glycoproteins from Human Body Fluids,” Analytical Chemistry 83:7035-7043 (2011), which is hereby incorporated by reference in its entirety). The N-glycans can then be analyzed based on a modification of Jensen et al (Kolarich et al., “Isomer-Specific Analysis of Released N-Glycans by LC-ESI MS/MS with Porous Graphitized Carbon,” Methods in Molecular Biology 1321:427-435 (2015), which is hereby incorporated by reference in its entirety). Briefly, N-Linked glycans are released with PNGase F (Elizabethkingia meningoseptica; Sigma), deaminated and partially purified using porous graphitized carbon solid-phase extraction cartridges (PGC-SPE, HyperSep-96-Hypecarb, 25 mg, Thermo Scientific) as described previously (Jensen et al., “Structural Analysis of N- and O-Glycans Released from Glycoproteins,” Nature Protocols 7:1299-1310 (2012), which is hereby incorporated by reference in its entirety). Glycan profiling and characterization may be performed by MALDI TOF/TOF mass spectrometry (4800 Plus, SCIEX) using alpha-cyano-4-hydroxycinnamic acid (CHCA; 10 mg/mL in 50% ACN), operated in reflector negative mode (mass range of m/z 1000 to 5000) with external calibration (TOF/TOF calibration mixture, SCIEX). NanoHPLC-High Resolution Mass Spectrometry (HRMS) may be used to validate the presence of most discriminative ions in MALDI-MS spectra using a nanoHPLC system (Dionex, 3000 Ultimate RSLCnano) coupled on-line to a LTQ-Orbitrap XL mass spectrometer (Thermo Scientific) equipped with a nano-electrospray ion source (Thermo Scientific, EASY-Spray source). N-Glycan chromatographic separation using Porous Graphitized Carbon (PGC) may be adapted from a procedure previously described (Jensen et al., “Structural Analysis of N- and O-Glycans Released from Glycoproteins,” Nature Protocols 7:1299-1310 (2012), which is hereby incorporated by reference in its entirety). A nanoflow PGC column (Hypercarb, 150 mm×75 μm ID, 3 μm particle size, Thermo Scientific) followed by a reversed phase C18 column (EASY-Spray C18 PepMap, 100 Å, 150 mm×75 μm ID and 3 μm particle size, Thermo Scientific) can be combined in series. This allows a better separation of carbohydrates and remaining tryptic peptides, while minimizing salt precipitation events encountered when a nanospray emitter was utilized directly after the PGC column. The mass spectrometer is operated in negative ion mode.

The monosaccharide compositions for the glycan precursors on MALDI-MS spectra may then be predicted using the GlycoMod tool considering mass accuracies below 10 ppm. The possibility of neutral exchanges with Na⁺ and K⁺ was considered for sialoglycans. The glycan structures are assigned based on nanoHPLC-PGC-HRMS analysis considering: i) molecular monoisotopic mass; (ii) CID-MS/MS de novo sequencing; and (iii) PGC-LC relative retention times. In particular, α2,3-linked and α2,6-linked sialylated N-glycans were differentiated based on retention time (α2,6<α2,3) (Kolarich et al., “Isomer-Specific Analysis of Released N-Glycans by LC-ESI MS/MS with Porous Graphitized Carbon,” Methods in Molecular Biology 1321:427-435 (2015), which is hereby incorporated by reference in its entirety). For further validation, MS/MS fragmentation profiles are matched to glycosidic fragments calculated in silico on GlycoWorkBench (Ceroni et al., “GlycoWorkbench: a Tool for the Computer-Assisted Annotation of Mass Spectra of Glycans,” Journal of Proteome Research 7:1650-1659 (2008), which is hereby incorporated by reference in its entirety). General understanding of mammalian N-glycosylation may be used to determine some structural aspects. A semiquantitive approach may be used to compare glycan compositions based on MALDI-MS assignments, taking into account the monoisotopic peak intensity.

In other embodiments, the exomeres, small exosomes, or large exosomes are then contacted with one or more reagents suitable to detect higher or lower levels, relative to a standard for subjects not having cancer or to a prior sample from a subject having cancer, or the presence or absence of one or more lipids in the exomere, small exosome, or large exosome sample.

The term “lipidomics” refers to the use of metabolomics as applied to the evaluation of lipid metabolites in biological samples. Lipid profiling generally involves an evaluation of lipid metabolites in one or more lipid classes (e.g., fatty acids, triglycerides, diglycerides, cholesterol esters, and the phospholipid classes including phosphatidycholine, phosphatidylethanolamine, lysophosphatidylcholine, sphingomyelin, phosphatidylcholine, phosphatidylserine, phosphatidylethanolamine and cardiolipin). As used herein, the term “lipid” is intended broadly and encompasses a diverse range of molecules that are relatively water-insoluble or nonpolar compounds of biological origin, including waxes, triglycerides, free fatty acids, diacylglyercols, fatty-acid derived phospholipids, sphingolipids, glycolipids and terpenoids, such as retinoids, cholesterol, cholesterol esters, and steroids. Some lipids are linear aliphatic molecules, while others have ring structures. Some are aromatic, while others are not.

The lipid profile can be quantitative, semi-quantitative and/or qualitative. For example, the lipid profile can evaluate the presence or absence of a lipid, can evaluate the presence of a lipid(s) above or below a particular threshold, and/or can evaluate the relative or absolute amount of a lipid(s). In some embodiments, a ratio among two, three, four or more lipids is determined. Changes or perturbations in lipid ratios can be advantageous in indicating where there are metabolic blocks (or releases of such blocks) or other alterations in metabolic pathways associated with disease, response to treatment, development of side effects, and the like. Methods of evaluating ratios of lipid precursors and products to evaluate enzyme activities and flow through metabolic pathways are known in the art (see. e.g., Attie et al., (2002) J. Lipid Res. 43:1899-1907 and Pan et al., (1995) J. Clin. Invest. 96:2802-2808, which are hereby incorporated by reference in their entirety).

Ratios of lipid metabolites can be used to reflect or assess changes in lipid metabolism. Generally, if the ratio is calculated from metabolites not present in the same lipid class, quantitative data are used to calculate the ratio. If the lipid metabolites reflected in the numerator and the denominator belong to the same lipid class, then relational data can be used.

In some embodiments, the level of a lipid metabolite is normalized against another lipid metabolite. For example, the ratio between two or more lipid metabolites can be normalized against an index associated with a pathway, enzymatic activity, class of metabolites, and/or status of certain metabolic activities.

Alternatively the level of a lipid metabolite can be normalized against a housekeeping lipid metabolite, e.g., a lipid metabolite that is relatively stable in amount under a variety of conditions in the subject. Quantitative metabolomic data include molar quantitative data, mass quantitative data and relational data by either moles or mass (mole % or weight %, respectively) for individual lipid metabolites or subsets of metabolites. In some embodiments, quantitative aspects of lipidomic analysis can be provided and/or improved by including one or more quantitative internal standards during the analysis, for instance, one standard for each lipid class. Internal standards are described in more detail in U.S. Patent Publication No. 2004/01434612, which is hereby incorporated by reference in its entirety.

Truly quantitative data can be integrated from multiple sources (e.g., the data do not need to be generated with the same assay, in the same location and/or at the same time) into a single seamless database regardless of the number of metabolites measured in each, discrete, individual analysis.

As used herein the term “level” is intended broadly and can mean a quantitative amount (e.g., weight or moles), a semi-quantitative amount, a relative amount (e.g., weight % or mole % within class or a ratio), a concentration, and the like.

For purposes of prognosing or managing treatment of cancer, a subject is selected that has or is undergoing treatment for cancer.

In accordance with this embodiment, exomeres are recovered from the sample and the method is carried out by detecting one or more lipids selected from the group consisting of phospholipids, sphingolipids, and glycerolipids. Exemplary specific lipids include, without limitation, TG, Cer, LPG, LPE, PC, PI, PE, LPI, PS, SM, MG, LPC, PG, DG, CerG3, and CerG1.

In another embodiment, small exosomes are recovered from the sample and the method is carried out by detecting lipids selected from the group consisting of LPE, PC, PI, PE, LPI, PS, PC, SM, and CerG3.

In further embodiment, large exosomes are recovered from the sample and the method is carried out by detecting lipids selected from the group consisting of LPE, PC, PI, PE, LPI, PS, PC, SM, and CerG3.

The lipid profile of the exomere, small exosomal, or large exosomal sample can be determined using any suitable method, The different classes of lipids and methods of detecting and optionally quantifying the same are well known in the art (e.g., thin layer chromatography, gas chromatography, liquid chromatography, mass and NMR spectrometry, and any combination thereof (e.g., GC/MS), and the like). One suitable method of detecting, and optionally quantifying, lipids in a biological sample employs stable isotope tracers to label the lipids. Methods of obtaining lipid profiles from biological samples have been described, see, e.g., U.S. Patent Publication No. 2004/0143461 to Watkins and Watkins et al. (2002) J. Lipid Res. 43(11): 1809-17, which are hereby incorporated by reference in their entirety.

In other aspects of the invention, the exomeres, small exosomes, or large exosomes are then contacted with one or more reagents suitable to detect higher or lower levels, relative to a standard for subjects not having cancer or to a prior sample from a subject having cancer, or the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer in the exomere, small exosome, or large exosome sample.

For purposes of prognosing or managing treatment of cancer, a subject is selected that has or is undergoing treatment for cancer.

In accordance with this aspect, the nucleic acid molecule may be DNA or RNA.

The exomere, small exosome, or large exosome fraction from a bodily fluid of a subject can be pre-treated with DNase to eliminate or substantially eliminate any DNA located on the surface or outside of the exosomes. Without DNAse pre-treatment, short DNA fragments on the outside of the exosomes may remain and co-isolate with nucleic acids extracted from inside the exosomes. Thus, elimination of all or substantially all DNA associated with the outside or surface of the exosomes by pre-treatment of with DNase, has the ability to enrich for internal exomere, small exosome, or large exosome dsDNA. To distinguish DNA strandedness within exomeres, small exosomes, or large exosomes, Shrimp DNase specifically digests double-stranded DNA and SI nuclease specifically digests single-stranded DNA.

In accordance with this and all other aspects of the present invention, DNA may be isolated by extracting the DNA from the exomeres, small exosomes, or large exosomes prior to or for analysis.

The extracted DNA can be analyzed directly without an amplification step. Direct analysis may be performed with different methods including, but not limited to, nanostring technology. NanoString technology enables identification and quantification of individual target molecules in a biological sample by attaching a color coded fluorescent reporter to each target molecule. This approach is similar to the concept of measuring inventory by scanning barcodes. Reporters can be made with hundreds or even thousands of different codes allowing for highly multiplexed analysis. The technology is described in a publication by Geiss et al. “Direct Multiplexed Measurement of Gene Expression with Color-Coded Probe Pairs,” Nat Biotechnol 26(3): 317-25 (2008), which is hereby incorporated by reference in its entirety.

In another embodiment, it may be beneficial or otherwise desirable to amplify the nucleic acid of the exomeres, small exosomes, or large exosomes prior to analyzing it. Methods of nucleic acid amplification are commonly used and generally known in the art. If desired, the amplification can be performed such that it is quantitative. Quantitative amplification will allow quantitative determination of relative amounts of the various exosomal nucleic acids.

Nucleic acid amplification methods include, without limitation, polymerase chain reaction (PCR) (U.S. Pat. No. 5,219,727, which is hereby incorporated by reference in its entirety) and its variants such as in situ polymerase chain reaction (U.S. Pat. No. 5,538,871, which is hereby incorporated by reference in its entirety), quantitative polymerase chain reaction (U.S. Pat. No. 5,219,727, which is hereby incorporated by reference in its entirety), nested polymerase chain reaction (U.S. Pat. No. 5,556,773, which is hereby incorporated by reference in its entirety), self sustained sequence replication and its variants (Guatelli et al, “Isothermal, in vitro Amplification of Nucleic Acids by a Multienzyme Reaction Modeled after Retroviral Replication,” Proc Natl Acad Sci USA 87(5): 1874-8 (1990), which is hereby incorporated by reference in its entirety), transcriptional amplification system and its variants (Kwoh et al. “Transcription-based Amplification System and Detection of Amplified Human Immunodeficiency Virus type I with a Bead-Based Sandwich Hybridization Format,” Proc Natl Acad Sci USA 86(4): 1173-7 (1989), which is hereby incorporated by reference in its entirety), Qb Replicase and its variants (Miele et al. “Autocatalytic Replication of a Recombinant RNA.” J Mol Biol 171(3): 281-95 (1983), which is hereby incorporated by reference in its entirety), cold-PCR (Li et al. “Replacing PCR with COLD-PCR Enriches Variant DNA Sequences and Redefines the Sensitivity of Genetic Testing.” Nat Med 14(5): 579-84 (2008), which is hereby incorporated by reference in its entirety) or any other nucleic acid amplification and detection methods known to those of skill in the art. Especially useful are those detection schemes designed for the detection of nucleic acid molecules if such molecules are present in very low numbers.

In one embodiment, the isolated DNA is contacted with one or more reagents suitable to detect the presence or absence of one or more genetic mutations that are associated with cancer. Exemplary genetic mutations associated with cancer include, but are not limited to, BRAF, EGFR, APC, NOTCH1, HRAS, KRAS, NRAS, MET, p53, PTEN, HER2, FLT3, BRCA1, BRCA2, PIK3CA, KIT, RET, AKT, ABL, CDK4, MYC, RAF, PDGFR, BCR-ABL, NPM1, CEBPalpha, and SRC.

The one or more mutations in the one or more identified genes can be detected using a hybridization assay. In a hybridization assay, the presence or absence of a gene mutation is determined based on the hybridization of one or more allele-specific oligonucleotide probes to one or more nucleic acid molecules in the exomere, small exosomal, or large exosomal DNA sample from the subject. The oligonucleotide probe or probes comprise a nucleotide sequence that is complementary to at least the region of the gene that contains the mutation of interest. The oligonucleotide probes are designed to be complementary to the wildtype, non-mutant nucleotide sequence and/or the mutant nucleotide sequence of the one or more genes to effectuate the detection of the presence or the absence of the mutation in the sample from the subject upon contacting the sample with the oligonucleotide probes. A variety of hybridization assays that are known in the art are suitable for use in the methods of the present invention. These methods include, without limitation, direct hybridization assays, such as northern blot or Southern blot (see e.g., Ausabel et al., Current Protocols in Molecular Biology, John Wiley & Sons, NY (1991), which is hereby incorporated by reference in its entirety). Alternatively, direct hybridization can be carried out using an array based method where a series of oligonucleotide probes designed to be complementary to a particular non-mutant or mutant gene region are affixed to a solid support (glass, silicon, nylon membranes). A labeled exomere, small exosomal, or large exosoma DNA or cDNA sample from the subject is contacted with the array containing the oligonucleotide probes, and hybridization of nucleic acid molecules from the sample to their complementary oligonucleotide probes on the array surface is detected. Examples of direct hybridization array platforms include, without limitation, the Affymetrix GeneChip or SNP arrays and Illumina's Bead Array. Alternatively, the sample is bound to a solid support (often DNA or PCR amplified DNA) and labeled with oligonucleotides in solution (either allele specific or short so as to allow sequencing by hybridization).

Other common genotyping methods include, but are not limited to, restriction fragment length polymorphism assays; amplification based assays such as molecular beacon assays, nucleic acid arrays, high resolution melting curve analysis (Reed and Wittwer, “Sensitivity and Specificity of Single-Nucleotide Polymorphism Scanning by High Resolution Melting Analysis,” Clinical Chem 50(10): 1748-54 (2004), which is hereby incorporated by reference in its entirety); allele-specific PCR (Gaudet et al., “Allele-Specific PCR in SNP Genotyping,” Methods Mol Biol 578: 415-24 (2009), which is hereby incorporated by reference in its entirety); primer extension assays, such as allele-specific primer extension (e.g., Illumina® Infinium® assay), arrayed primer extension (see Krjutskov et al., “Development of a Single Tube 640-plex Genotyping Method for Detection of Nucleic Acid Variations on Microarrays,” Nucleic Acids Res. 36(12) e75 (2008), which is hereby incorporated by reference in its entirety), homogeneous primer extension assays, primer extension with detection by mass spectrometry (e.g., Sequenom® iPLEX SNP genotyping assay) (see Zheng et al., “Cumulative Association of Five Genetic Variants with Prostate Cancer,” N. Eng. J. Med. 358(9):910-919 (2008), which is hereby incorporated by reference in its entirety), multiplex primer extension sorted on genetic arrays; flap endonuclease assays (e.g., the Invader® assay) (see Olivier M., “The Invader Assay for SNP Genotyping,” Mutat. Res. 573 (1-2) 103-10 (2005), which is hereby incorporated by reference in its entirety); 5′ nuclease assays, such as the TaqMan® assay (see U.S. Pat. No. 5,210,015 to Gelfand et al. and U.S. Pat. No. 5,538,848 to Livak et al., which are hereby incorporated by reference in their entirety); and oligonucleotide ligation assays, such as ligation with rolling circle amplification, homogeneous ligation, OLA (see U.S. Pat. No. 4,988,617 to Landgren et al., which is hereby incorporated by reference in its entirety), multiplex ligation reactions followed by PCR, wherein zipcodes are incorporated into ligation reaction probes, and amplified PCR products are determined by electrophoretic or universal zipcode array readout (see U.S. Pat. Nos. 7,429,453 and 7,312,039 to Barany et al., which are hereby incorporated by reference in their entirety). Such methods may be used in combination with detection mechanisms such as, for example, luminescence or chemiluminescence detection, fluorescence detection, time-resolved fluorescence detection, fluorescence resonance energy transfer, fluorescence polarization, mass spectrometry, and electrical detection. In general, the methods for analyzing genetic aberrations are reported in numerous publications, not limited to those cited herein, and are available to those skilled in the art. The appropriate method of analysis will depend upon the specific goals of the analysis, the condition/history of the patient, and the specific cancer(s), diseases or other medical conditions to be detected, monitored or treated.

Alternatively, the presence or absence of one or more mutations identified supra can be detected by direct sequencing of the genes, or preferably particular gene regions comprising the one or more identified mutations, from the patient sample. Direct sequencing assays typically involve isolating DNA sample from the subject using any suitable method known in the art, and cloning the region of interest to be sequenced into a suitable vector for amplification by growth in a host cell (e.g. bacteria) or direct amplification by PCR or other amplification assay. Following amplification, the DNA can be sequenced using any suitable method. A preferable sequencing method involves high-throughput next generation sequencing (NGS) to identify genetic variation. Various NGS sequencing chemistries are available and suitable for use in carrying out the claimed invention, including pyrosequencing (Roche® 454), sequencing by reversible dye terminators (Illumina® HiSeq, Genome Analyzer and MiSeq systems), sequencing by sequential ligation of oligonucleotide probes (Life Technologies® SOLiD), and hydrogen ion semiconductor sequencing (Life Technologies®, Ion Torrent™). Alternatively, classic sequencing methods, such as the Sanger chain termination method or Maxam-Gilbert sequencing, which are well known to those of skill in the art, can be used to carry out the methods of the present invention.

In certain embodiments of the present invention, the selected subject has melanoma, breast cancer, or pancreatic cancer.

The methods described herein may further include selection of a suitable cancer therapeutic and administering the selected cancer therapeutic to a subject. In practicing the methods of the present invention, the administering step is carried out to treat the cancer, achieve inhibition of metastasis or metastatic disease progression. Such administration can be carried out systemically or via direct or local administration to the tumor site. By way of example, suitable modes of systemic administration include, without limitation orally, topically, transdermally, parenterally, intradermally, intramuscularly, intraperitoneally, intravenously, subcutaneously, or by intranasal instillation, by intracavitary or intravesical instillation, intraocularly, intraarterially, intralesionally, or by application to mucous membranes. Suitable modes of local administration include, without limitation, catheterization, implantation, direct injection, dermal/transdermal application, or portal vein administration to relevant tissues, or by any other local administration technique, method or procedure generally known in the art. The mode of affecting delivery of agent will vary depending on the type of therapeutic agent (e.g., an antibody or an inhibitory nucleic acid molecule) and the disease to be treated.

Effective doses for the treatment of a metastatic disease vary depending upon many different factors, including type and stage of cancer, means of administration, target site, physiological state of the patient, other medications or therapies administered, and physical state of the patient relative to other medical complications. Treatment dosages need to be titrated to optimize safety and efficacy.

Another aspect of the present invention is directed to a kit suitable for diagnosing cancer. The kit includes one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more proteins contained in exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more N-glycans contained in exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more lipids contained in exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in exomeres, small exosomes, or large exosomes, or (5) combinations thereof, wherein said small exosomes have a diameter of 60 to 80 nm and said large exosomes have a diameter of 90 to 120 nm.

In one embodiment, the kit contains one or more reagents suitable for isolating exomeres, small exosomes, or large exosomes. By way of example, suitable markers for isolation of exomeres include, without limitation, HSP90AB1, MTHFD1, ACTR3, PEPD, IDH1, HMGCS1, LGALS3BP, CALR, HSPA13, UGP2, MAT1A, GPD1, PFKL, HGD, GCLC, GSN, CNDP2, FAT4, ERP44, BZW1, AGL, B4GAT1, EXT1, CAT, XPNPEP1, CORO1C, RACK1, HPD, EXT2, ACLY, ADK, PSMC4, ACO1, RRM1, SERPINH1, PYGL, ALDH1L1, PGM1, EEF1G, and PPP2R1A. Suitable markers for isolation of small exosomes include, without limitation, FLOT1, FLOT2, TTYH3, TSPAN14, and VPS37B. Suitable markers for isolation of large exosomes include, without limitation, STIP1, MPP6, DLG1, ABI1, ATP2B1, ANXA4, MYO1C, STXBP3, RDX, ANXA1, ANXA5, GNA13, PACSIN3, VPS4B, CHMP1A, CHMP5, CHMP2A, SH3GL1, CHMP4B, GNG12, and DNAJA1.

In some embodiments, the kit comprises one or more reagents suitable to detect higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more proteins contained in exomeres. Exemplary proteins contained in exomeres are described above.

In some embodiments, the kit comprises one or more reagents suitable to detect higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more proteins contained in small exosomes. Exemplary proteins contained in small exosomes are described above.

In some embodiments, the kit comprises one or more reagents suitable to detect higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more proteins contained in large exosomes. Exemplary proteins contained in large exosomes are described above.

The kit of the present invention may also contain reagents suitable to determine if a subject has a particular type of cancer. In certain embodiments, the kit contains reagents suitable to determine if a subject has melanoma, breast cancer, and/or pancreatic cancer. Exemplary proteins suitable for detection in exomeres, small exosomes, or large exosomes of melanoma, breast cancer, or pancreatic cancer subjects are described above.

A number of kits are contemplated to encompass a variety of methods. These kits optionally include reagents to process a tissue or cell sample for the technique employed by that particular kit. By example, a kit for PCR or PCR enhanced in situ hybridization can include reagents to process the sample and isolate the RNA (for PCR). It will also contain suitable primers to amplify the target sequence and additional probes, if necessary, to detect the desired nucleic acid fragments as well as buffers and reagents for the polymerase chain reaction and the buffers and emulsions required for in situ hybridization methods. Other kits can alternatively include reagents for immunofluorescence or ELISA using antibodies or probes, primers and reagents for modifications of in situ or PCR in situ hybridization methods.

For the purposes of the kits of the present invention, the isolation of nucleic acids from the exomere, small exosomal, or large exosomal sample may be desirable. Accordingly, kits may contain reagents necessary to carry out such methods. Methods of isolating RNA and DNA from biological samples for use in the methods of the present invention are readily known in the art. These methods are described in detail in LABORATORY TECHNIQUES IN BIOCHEMISTRY AND MOLECULAR BIOLOGY: HYBRIDIZATION WITH NUCLEIC ACID PROBES, PART I. THEORY AND NUCLEIC ACID PREPARATION (P. Tijssen ed., Elsevier 1993), which is hereby incorporated by reference in its entirety. Total RNA can be isolated from a given sample using, for example, an acid guanidinium-phenol-chloroform extraction, a guanidinium isothiocyanate-ultracentrifugation method, or lithium chloride-SDS-urea method. PolyA® mRNA can be isolated using oligo(dT) column chromatography or (dT)n magnetic beads (See e.g., SAMBROOK AND RUSSELL, MOLECULAR CLONING: A LABORATORY MANUAL (Cold Springs Laboratory Press, 1989) or CURRENT PROTOCOLS IN MOLECULAR BIOLOGY (Fred M. Ausubel et al. eds., 1992) which are hereby incorporated by reference in their entirety). See also WO 2000024939 to Dong et al., which is hereby incorporated by reference in its entirety, for complexity management and other nucleic acid sample preparation techniques.

It may be desirable to amplify the nucleic acid sample prior to detecting protein levels. One of skill in the art will appreciate that a method which maintains or controls for the relative frequencies of the amplified nucleic acids to achieve quantitative amplification should be used.

Typically, methods for amplifying nucleic acids employ a polymerase chain reaction (PCR) (See e.g., PCR TECHNOLOGY: PRINCIPALS AND APPLICATIONS FOR DNA AMPLIFICATION (Henry Erlich ed., Freeman Press 1992); PCR PROTOCOLS: A GUIDE TO METHODS AND APPLICATIONS (Michael Innis ed., Academic Press 1990); Mattila et al., “Fidelity of DNA Synthesis by the Thermococcus litoralis DNA Polymerase—An Extremely Heat Stable Enzyme with Proofreading Activity,” Nucleic Acids Res. 19:4967-73 (1991); Eckert et al., “DNA Polymerase Fidelity and the Polymerase Chain Reaction,” PCR Methods and Applications 1:17-24 (1991); and U.S. Pat. Nos. 4,683,202, 4,683,195, 4,800,159, 4,965,188, and 5,333,675 all to Mullis et al., which are hereby incorporated by reference in their entireties for all purposes). The sample can also be amplified on an array as described in U.S. Pat. No. 6,300,070 to Boles, which is hereby incorporated by reference in its entirety.

Other suitable amplification methods include the ligase chain reaction (LCR) (e.g. Wu et al., “The Ligation Amplification Reaction (LAR)—Amplification of Specific DNA Sequences Using Sequential Rounds of Template-Dependent Ligation,” Genomics 4:560-9 (1989), Landegren et al., “A Ligase-Mediated Gene Detection Technique,” Science 241:1077-80 (1988), and Barringer et al., “Blunt-End and Single-Strand Ligations by Escherichia coli Ligase: Influence on an In Vitro Amplification Scheme,” Gene 89:117-22 (1990), which are hereby incorporated by reference in their entirety); transcription amplification (Kwoh et al., “Transcription-Based Amplification System and Detection of Amplified Human Immunodeficiency Virus Type I with a Bead-Based Sandwich Hybridization Format,” Proc. Natl. Acad. Sci. USA 86:1173-7 (1989) and WO 88/10315 to Gingeras, which are hereby incorporated by reference in their entirety); self-sustained sequence replication (Guatelli et al., “Isothermal, In Vitro Amplification of Nucleic Acids by a Multienzyme Reaction Modeled After Retroviral Replication,” Proc. Natl. Acad. Sci. USA 87:1874-8 (1990) and WO 90/06995 to Gingeras, which are hereby incorporated by reference in their entirety); selective amplification of target polynucleotide sequences (U.S. Pat. No. 6,410,276 to Burg at al., which is hereby incorporated by reference in its entirety); consensus sequence primed polymerase chain reaction (CP-PCR)(U.S. Pat. No. 5,437,975 to McClelland, which is hereby incorporated by reference in its entirety); arbitrarily primed polymerase chain reaction (AP-PCR)(U.S. Pat. No. 5,413,909 to Bassam, and U.S. Pat. No. 5,861,245 to McClelland which are hereby incorporated by reference in their entirety); and nucleic acid based sequence amplification (NABSA) (See U.S. Pat. Nos. 5,409,818, 5,554,517, and 6,063,603 all to Davey, which are hereby incorporated by reference in their entirety). Other amplification methods that may be used are described in U.S. Pat. No. 5,242,794 to Whiteley; U.S. Pat. No. 5,494,810 to Barany; and U.S. Pat. No. 4,988,617 to Landgren, which are hereby incorporated by reference in their entirety.

The kits may also contain probes or primers which hybridize to complementary nucleic acid molecules in the exomere, small exosomal, or large exosomal sample. The probes comprise nucleotide sequences that are complementary to at least a region of mRNA or corresponding cDNA of the desired proteins. As used herein, the term “hybridization” refers to the complementary base-pairing interaction of one nucleic acid with another nucleic acid that results in formation of a duplex, triplex, or other higher-ordered structure. Typically, the primary interaction is base specific, e.g., A/T and G/C, by Watson/Crick and Hoogsteen-type hydrogen bonding. Base-stacking and hydrophobic interactions can also contribute to duplex stability. Conditions for hybridizing detector probes to complementary and substantially complementary target sequences are well known in the art (see e.g., NUCLEIC ACID HYBRIDIZATION, A PRACTICAL APPROACH, B. Hames and S. Higgins, eds., IRL Press, Washington, D.C. (1985), which is hereby incorporated by reference in its entirety). In general, hybridization is influenced by, among other things, the length of the polynucleotides and their complements, the pH, the temperature, the presence of mono- and divalent cations, the proportion of G and C nucleotides in the hybridizing region, the viscosity of the medium, and the presence of denaturants. Such variables influence the time required for hybridization. Thus, the preferred hybridization conditions will depend upon the particular application. Such conditions, however, can be routinely determined by the person of ordinary skill in the art without undue experimentation. It will be appreciated that complementarity need not be perfect; there can be a small number of base pair mismatches that will minimally interfere with hybridization between the target sequence and single stranded nucleic acid probe. Thus, what is meant by complementarity herein is that the probes are sufficiently complementary to the target sequence to hybridize under the selected reaction conditions to achieve selective detection and measurement.

Detection of hybridization between probes and corresponding target molecules from an exomere, small exosomal, or large exosomal sample can be performed by several assays known in the art that permit detection of the expression level of the one or more proteins. As described herein, the “expression level” of a protein can be achieved by measuring any suitable value that is representative of the gene expression level. The measurement of gene expression levels can be direct or indirect. A direct measurement involves measuring the level or quantity of RNA or protein. An indirect measurement may involve measuring the level or quantity of cDNA, amplified RNA, DNA, or protein; the activity level of RNA or protein; or the level or activity of other molecules (e.g. a metabolite) that are indicative of the foregoing. The measurement of expression can be a measurement of the absolute quantity of a gene product. The measurement can also be a value representative of the absolute quantity, a normalized value (e.g., a quantity of gene product normalized against the quantity of a reference gene product), an averaged value (e.g., average quantity obtained at different time points or from different sample from a subject, or average quantity obtained using different probes, etc.), or a combination thereof.

In a preferred embodiment, hybridization is detected by measuring RNA expression level. Measuring gene expression by quantifying RNA expression can be achieved using any commonly used method known in the art including northern blotting and In situ hybridization (Parker et al., “mRNA: Detection by in Situ and Northern Hybridization,” Methods in Molecular Biology 106:247-283 (1999), which is hereby incorporated by reference in its entirety); RNAse protection assay (Hod et al., “A Simplified Ribonuclease Protection Assay.” Biotechniques 13:852-854 (1992), which is hereby incorporated by reference in its entirety); reverse transcription polymerase chain reaction (RT-PCR) (Weis et al., “Detection of Rare mRNAs via Quantitative RT-PCR,” Trends in Genetics 8:263-264 (1992), which is hereby incorporated by reference in its entirety); and serial analysis of gene expression (SAGE) (Velculescu et al., “Serial Analysis of Gene Expression,” Science 270:484-487 (1995); and Velculescu et al., “Characterization of the Yeast Transcriptome,” Cell 88:243-51 (1997), which is hereby incorporated by reference in its entirety).

In a nucleic acid hybridization assay, the expression level of nucleic acids corresponding to proteins can be detected using an array-based technique. These arrays, also commonly referred to as “microarrays” or “chips” have been generally described in the an, see e.g., U.S. Pat. No. 5,143,854 to Pirrung et al.; U.S. Pat. No. 5,445,934 to Fodor et al.; U.S. Pat. No. 5,744,305 to Fodor et al.; U.S. Pat. No. 5,677,195 to Winkler et al.; U.S. Pat. No. 6,040,193 to Winkler et al.; U.S. Pat. No. 5,424,186 to Fodor et al., which are all hereby incorporated by reference in their entirety. A microarray comprises an assembly of distinct polynucleotide or oligonucleotide probes immobilized at defined positions on a substrate. Arrays are formed on substrates fabricated with materials such as paper, glass, plastic (e.g., polypropylene, nylon), polyacrylamide, nitrocellulose, silicon, optical fiber or any other suitable solid or semi-solid support, and configured in a planar (e.g., glass plates, silicon chips) or three-dimensional (e.g., pins, fibers, beads, particles, microtiter wells, capillaries) configuration. Probes forming the arrays may be attached to the substrate by any number of ways including (i) in situ synthesis (e.g., high-density oligonucleotide arrays) using photolithographic techniques (see Fodor et al., “Light-Directed, Spatially Addressable Parallel Chemical Synthesis,” Science 251:767-773 (1991); Pease et al., “Light-Generated Oligonucleotide Arrays for Rapid DNA Sequence Analysis,” Proc. Natl. Acad. Sci. U.S.A. 91:5022-5026 (1994); Lockhart et al., “Expression Monitoring by Hybridization to High-Density Oligonucleotide Arrays,” Nature Biotechnology 14:1675 (1996); and U.S. Pat. No. 5,578,832 to Trulson; U.S. Pat. No. 5,556,752 to Lockhart; and U.S. Pat. No. 5,510,270 to Fodor, which are hereby incorporated by reference in their entirety); (ii) spotting/printing at medium to low-density (e.g., cDNA probes) on glass, nylon or nitrocellulose (Schena et al., “Quantitative Monitoring of Gene Expression Patterns with a Complementary DNA Microarray” Science 270:467-470 (1995), DeRisi et al, “Use of a cDNA Microarray to Analyse Gene Expression Patterns in Human Cancer,” Nature Genetics 14:457-460 (1996); Shalon et al., “A DNA Microarray System for Analyzing Complex DNA Samples Using Two-Color Fluorescent Probe Hybridization,” Genome Res. 6:639-645 (1996); and Schena et al., “Proc. Natl. Acad. Sci. U.S.A. 93:10539-11286) (1995), which are hereby incorporated by reference in their entirety); (iii) masking (Maskos et al., “Oligonucleotide Hybridizations on Glass Supports: A Novel Linker for Oligonucleotide Synthesis and Hybridization Properties of Oligonucleotides Synthesised In Situ,” Nuc. Acids. Res. 20:1679-1684 (1992), which is hereby incorporated by reference in its entirety); and (iv) dot-blotting on a nylon or nitrocellulose hybridization membrane (see e.g., SAMBROOK AND RUSSELL, MOLECULAR CLONING: A LABORATORY MANUAL (Cold Springs Laboratory Press, 1989), which is hereby incorporated by reference in its entirety). Probes may also be noncovalently immobilized on the substrate by hybridization to anchors, by means of magnetic beads, or in a fluid phase such as in microtiter wells or capillaries. The probe molecules are generally nucleic acids such as DNA, RNA, PNA, and cDNA.

Fluorescently labeled cDNA for hybridization to the array may be generated through incorporation of fluorescent nucleotides by reverse transcription of RNA extracted from exomere, small exosomal, or large exosomal samples. Labeled cDNA applied to the array hybridizes with specificity to each nucleic acid probe spotted on the array. After stringent washing to remove non-specifically bound cDNA, the array is scanned by confocal laser microscopy or by another detection method, such as a CCD camera. Quantitation of hybridization of each arrayed element allows for assessment of corresponding mRNA abundance. With dual color fluorescence, separately labeled cDNA samples generated from two sources of RNA are hybridized pairwise to the array. The relative abundance of the transcripts from the two sources corresponding to each specified gene is thus determined simultaneously. The miniaturized scale of the hybridization affords a convenient and rapid evaluation of the expression pattern for large numbers of genes. Such methods have been shown to have the sensitivity required to detect rare transcripts, which are expressed at a few copies per cell, and to reproducibly detect at least approximately two-fold differences in the expression levels (Schena et al., “Parallel Human Genome Analysis: Microarray-Based Expression Monitoring of 1000 Genes,” “Proc. Natl. Acad. Sci. USA 93(20):10614-9 (1996), which is hereby incorporated by reference in its entirety).

A nucleic acid amplification assay that is a semi-quantitative or quantitative real-time polymerase chain reaction (RT-PCR) assay can also be performed. Because RNA cannot serve as a template for PCR, the first step in gene expression profiling by RT-PCR is the reverse transcription of the RNA template into cDNA, followed by its exponential amplification in a PCR reaction. The two most commonly used reverse transcriptases are avian myeloblastosis virus reverse transcriptase (AMV-RT) and Moloney murine leukemia virus reverse transcriptase (MLV-RT), although others are also known and suitable for this purpose. The reverse transcription step is typically primed using specific primers, random hexamers, or oligo-dT primers, depending on the circumstances and the goal of expression profiling. For example, extracted RNA can be reverse-transcribed using a GeneAmp RNA PCR kit (Perkin Elmer. Calif., USA), following the manufacturer's instructions. The derived cDNA can then be used as a template in the subsequent PCR reaction.

Although the PCR step can use a variety of thermostable DNA-dependent DNA polymerases, it typically employs the Taq DNA polymerase, which has a 5′-3′ nuclease activity but lacks a 3′-5′ proofreading endonuclease activity. An exemplary PCR amplification system using Taq polymerase is TaqMan® PCR (Applied Biosystems, Foster City, Calif.). Taqman® PCR typically utilizes the 5′-nuclease activity of Taq or Tth polymerase to hydrolyze a hybridization probe bound to its target amplicon, but any enzyme with equivalent 5′ nuclease activity can be used. Two oligonucleotide primers are used to generate an amplicon typical of a PCR reaction. A third oligonucleotide, or probe, is designed to detect the nucleotide sequence located between the two PCR primers. The probe is non-extendible by Taq DNA polymerase enzyme, and is labeled with a reporter fluorescent dye and a quencher fluorescent dye. Any laser-induced emission from the reporter dye is quenched by the quenching dye when the two dyes are located close together as they are on the probe. During the amplification reaction, the Taq DNA polymerase enzyme cleaves the probe in a template-dependent manner. The resultant probe fragments disassociate in solution, and signal from the released reporter dye is free from the quenching effect of the second fluorophore. One molecule of reporter dye is liberated for each new molecule synthesized, and detection of the unquenched reporter dye provides the basis for quantitative interpretation of the data.

TaqMan® RT-PCR can be performed using commercially available equipment, such as, for example, the ABI PRISM 7700® Sequence Detection System® (Perkin-Elmer-Applied Biosystems, Foster City, Calif., USA), or the Lightcycler (Roche Molecular Biochemicals, Mannheim, Germany).

In addition to the TaqMan® primer/probe system, other quantitative methods and reagents for real-time PCR detection that are known in the art (e.g. SYBR green, Molecular Beacons, Scorpion Probes, etc.) are suitable for use in the methods of the present invention.

To minimize errors and the effect of sample-to-sample variation, RT-PCR is usually performed using an internal standard or spike in control. The ideal internal standard is expressed at a constant level among different tissues. RNAs most frequently used to normalize patterns of gene expression are mRNAs for the housekeeping genes glyceraldehyde-3-phosphate-dehydrogenase (GAPDH) and β-actin.

Real time PCR is compatible both with quantitative competitive PCR, where internal competitor for each target sequence is used for normalization and quantitative comparative PCR using a normalization gene contained within the sample, or a housekeeping gene for RT-PCR. For further details see, e.g., Heid et al., “Real Time Quantitative PCR,” Genome Research 6:986-994 (1996), which is incorporated by reference in its entirety.

When it is desirable to measure the expression level of proteins by measuring the level of protein expression, the kit may contain reagents suitable for performing any protein hybridization or immunodetection based assay known in the art. In a protein hybridization based assay, an antibody or other agent that selectively binds to a protein is used to detect the amount of that protein expressed in a sample. For example, the level of expression of a protein can be measured using methods that include, but are not limited to, western blot, immunoprecipitation, enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), fluorescent activated cell sorting (FACS), immunohistochemistry, immunocytochemistry, or any combination thereof. Also, antibodies, aptamers, or other ligands that specifically bind to a protein can be affixed to so-called “protein chips” (protein microarrays) and used to measure the level of expression of a protein in a sample. Alternatively, assessing the level of protein expression can involve analyzing one or more proteins by two-dimensional gel electrophoresis, mass spectroscopy (MS), matrix-assisted laser desorption/ionization-time of flight-MS (MALDI-TOF), surface-enhanced laser desorption ionization-time of flight (SELDI-TOF), high performance liquid chromatography (HPLC), fast protein liquid chromatography (FPLC), multidimensional liquid chromatography (LC) followed by tandem mass spectrometry (MS/MS), protein chip expression analysis, gene chip expression analysis, and laser densitometry, or any combinations of these techniques.

In certain embodiments, kits may contain an antibody that specifically binds a protein of interest. Optionally, the antibody can be fixed to a solid support to facilitate washing and subsequent isolation of the complex, prior to contacting the antibody with a sample. Examples of solid supports include glass or plastic in the form of a microtiter plate, a stick, a bead, or a microbead. Examples of solid supports encompassed herein include those formed partially or entirely of glass (e.g., controlled pore glass), polysaccharides (e.g., agarose), polyacrylamides, silicones, and plastics such as polystyrene, polypropylene and polyvinyl alcohol. The sample can be diluted with a suitable diluent or eluant before contacting the sample to the antibody.

After incubating the sample with antibodies, the mixture can be washed and the antibody-antigen complex formed can be detected. This can be accomplished by incubating the washed mixture with a detection reagent. This detection reagent may be a second antibody which is labeled with a detectable label, for example. Exemplary detectable labels include magnetic beads (e.g., DYNABEADS™), fluorescent dyes, radiolabels, enzymes (for example, horse radish peroxidase, alkaline phosphatase and others commonly used in an ELISA), and colorimetric labels such as colloidal gold or colored glass or plastic beads. Alternatively, the antigens in the sample can be detected using an indirect assay, wherein, for example, a second, labeled antibody is used to detect bound specific, primary antibody, and/or in a competition or inhibition assay wherein, for example, a monoclonal antibody which binds to a distinct epitope of the antigen (i.e., proteins uniquely associated with exomeres, small exosomes, or large exosomes) is incubated simultaneously with the mixture.

immunoassays can be used to determine presence or absence of proteins in an exomere, small exosomal, and/or large exosomal sample as well as the quantity of the proteins in the sample. If a protein is present in the sample, it will form an antibody-protein complex with an antibody that specifically binds the protein under suitable incubation conditions described above. The amount of an antibody-protein complex can be determined by comparing to a standard. A standard can be a known compound or another protein known to be present in a sample, for example. As noted above, the test amount of antigen (i.e., proteins uniquely associated with exomeres, small exosomes, or large exosomes) need not be measured in absolute units, as long as the unit of measurement can be compared to a control.

In one embodiment, the kit contains one or more reagents suitable to detect higher or lower levels, or the presence or absence of one or more lipids contained in exomeres, small exosomes, or large exosomes.

Exemplary lipids to be detected are described above.

For the purposes of detecting the presence or absence or lipids, the kit comprises reagents and reference compounds suitable for detecting lipids. The reference compounds may be one or more of the following, but are not limited to, lipid standard(s), one or more control marker(s) that is/are regularly measured in a clinical setting, and positive and/or negative controls, internal and/or external standards.

In one embodiment, the lipid concentration(s), lipid ratio(s) or (a) lipid combination(s) thereof in a sample from a subject is (are) determined by using mass spectrometry. The sample may be subjected to purification and/or other sample pre-preparation step(s) before mass spectrometry analysis. The purification step may be, but is not limited to chromatography, for example, high performance liquid chromatography (HPLC), ultra performance liquid chromatography (UPLC) and/or ultra high performance liquid chromatography (UHPLC). The sample pre-preparation step may be, but is not limited to solid-phase extraction (SPE), derivatization, liquid-liquid extraction and/or lipoprotein fractionation. The said mass spectrometry determination may be done by tandem mass spectrometry.

In another embodiment, the kit contains one or more reagents suitable to detect higher or lower levels, or the presence or absence of one or more N-glycans contained in exomeres, small exosomes, or large exosomes.

Exemplary N-glycans to be detected are described above.

In some embodiments, the kit contains one or more lectins for a specific glycan structure, in addition to detection reagents and buffers. In some embodiments, the kit contains reagents for identifying glycosylated protein (e.g., the glycosylation detection reagents) in addition to reagents for identifying glycan structures. In some embodiments, the kit contains all of the components necessary and/or sufficient to perform at least one detection assay, including all controls, directions for performing assays, and any necessary or desired software for analysis and presentation of results. In some embodiments, reagents (e.g., lectins) are fluorescently labeled.

EXAMPLES

The examples below are intended to exemplify the practice of the present invention but are by no means intended to limit the scope thereof.

Materials and Methods for Examples 1-7

Cell lines and cell culture. B16-F10, B16-F1, 4T1, MDA-MB-231 series (parental, −1833, −4175, and −831, gifts from Dr. J. Massaguè), LLC, SW620, HCT116 (Horizon Discovery), PANC-1, AsPC-1, Pan02 (purchased from the National Cancer Institute Tumor Repository), and NIH3T3 cells were cultured in DMEM. Human melanoma cells (SK-Mel103, A375M and A375P were obtained from MSKCC), human prostatic carcinoma cell lines PC3 and DU145, as well as BXPC-3, HPAF-11, PC-9, ET2B (gift from Dr. P. Gao and J. Bromberg), K-562 (DSMZ) and NB-4 (DSMZ) cells were cultured in RPM1, supplemented with penicillin (100 U/ml) and streptomycin (100 μg/ml) and 10% FBS. Cell lines were obtained from American Type Culture Collection, if not otherwise mentioned, and authenticated using STR profiling by commercial providers. All cells were maintained in a humidified incubator with 5% CO₂ at 37° C. and routinely tested and confirmed to be free of Mycoplasma contamination. When collecting conditioned media for exosome isolation, FBS (Gibco, Thermo Fisher Scientific) was first depleted of exosomes by ultracentrifugation at 100,000×g for 90 minutes. Cells were cultured for 3 days before supernatant collection.

Human specimens and processing. Fresh human tumor tissues were obtained from subjects with stage 1-3 melanoma at Memorial Sloan-Kettering Cancer Center (MSKCC) and had histologically confirmed melanoma. All individuals provided informed consent for tissue donation according to a protocol approved by the institutional review board of MSKCC (IRB #11-033A, MSKCC; IRB #0604008488, WCM), and the study is compliant with all relevant ethical regulations regarding research involving human participants. Tissues were cut into small pieces and cultured for 24 h in serum-free RPM1 supplemented with penicillin/streptomycin. Conditioned media was processed for exosome isolation and AF4 fractionation as described below.

Exomere and exosome isolation and nanosight tracking analysis (NTA). SEV were prepared using differential ultracentrifugation methods (Peinado et al., “Melanoma Exosomes Educate Bone Marrow Progenitor Cells Toward a Pro-Metastatic Phenotype through MET,” Nature Medicine 18:883-891 (2012), which is hereby incorporated by reference in its entirety) and resuspended in phosphate buffered saline (PBS, pH7.4) for subsequent analysis and AF4 fractionation. Isolated samples were quantified using BCA assay (Pierce, Thermo Fisher Scientific). NTA analysis of exosome size and particle number was performed using the LM10 or DS500 NanoSight system (Malvern Instruments) equipped with a blue laser (405 nm) following manufacturer's instructions.

AF4 fractionation. The detailed step-by-step AF4 fractionation protocol including sample preparation, AF4 setting parameters and running method, data collection and analysis, and fraction collection and characterization) is provided on ProtocolExchange (Zhang et al., “A Protocol for Asymmetric-Flow Field-Flow Fractionation (AF4) of Small Extracellular Vesicles,” Protocol Exchange (2018), which is hereby incorporated by reference in its entirety).

Transmission electron microscopy (TEM) and atomic force microscopy (AFM). For negative staining TEM analysis, 5 μl of sample solution was placed on a formvar/carbon coated grid and allowed to settle for 1 minute. The sample was blotted and negative stained with 4 successive drops of 1.5% (aqu) uranyl actate, blotting between each drop. Following the last drop of stain, the grid was blotted and air-dried. Grids were imaged with a JEOL JSM 1400 (JEOL, USA, Ltd. Peabody, Mass.) transmission electron microscope operating at 100 Kv. Images were captured on a Veleta 2K×2K CCD camera (Olympus-SIS, Munich, Germany).

For AFM, dilutions were made for each sample and then plated on freshly cleaved mica substrate (SPI) for ˜2 minutes before washing with 10 mL of Molecular Biology Grade H₂O (Fisher BP2819-1) and being blown dry with nitrogen gas. Imaging was performed using an MFP-3D-BIO AFM (Asylum Research), with an Olympus AC240TS-R3 AFM probe (Asylum Research) in tapping mode at room temperature. Images were captured at 1 μm×1 μm. Image analysis was performed using a custom-written ImageJ/F1J1 (NIH) code.

Zeta potential measurement. Fractionated samples were diluted in PBS (Phosphate-buffered saline; 0.01 M phosphate buffer. 0.0027 M KCl, 0.137 M NaCl; pH 7.4 tablets, Sigma) for ζ potential analysis using Zetasizer Nano ZS90 (Malvern Instruments). Samples were freshly prepared prior to loading onto the instrument at a 90° angle (respective to the light source). All experiments were performed at a constant temperature of 25° C.

Stiffness measurement. Freshly cleaved mica coverslips were first coated with Poly-L-lysine (0.1%, w/v in H₂O) for 30 minutes and then incubated with samples on the mica surface for 45 minutes. The samples were then rinsed with 1 ml of MilliPure water, washed three times with PBS buffer, then emerged in a drop of PBS on the mica surface. A stand-alone MFP-3D atomic force microscope (Asylum Research, Santa Barbara, Calif.) was utilized to perform the analysis. The spring constant of cantilever was determined as 559.73 pN/nm by the thermal noise method (Langlois et al., “Spring Constant Calibration of Atomic Force Microscopy Cantilevers with a Piezosensor Transfer Standard,” The Review of Scientific Instruments 78:093705 (2007), which is hereby incorporated by reference in its entirety). The curvature radius of cantilever was ˜15 nm, and the resonant frequency of 325 kHz were used for the stiffness analysis (i.e., indentation of cantilever) and imaging. Force measurements were performed with an approximate force distance of 300 nm and velocity of 500 nm/s.

Western blot analysis. Whole cell extract (WCE) and exosome fractions were lysed directly with SDS sample buffer and lysates were cleared by centrifugation at 14,000×g for 10 minutes. 100 μg of WCE and 10 μg of input and each nanoparticle subset were separated on a Novex 4-12% Bis-Tris Plus Gel (Life Technologies), and transferred onto a PVDF membrane (Millipore). Membranes were blocked for 1 hour at room temperature followed by primary antibody incubation overnight at 4° C. The following antibodies were used for western blot analysis: anti-Tsg101 (Santa Cruz sc-7964); anti-Alix1 (Cell Signaling 2171); anti-Hsp90 (Stressgen ADI-SPA-830-F), anti-MAT1A1 (Abcam ab174687); anti-IDH1 (Proteintech 23309-1-AP); anti-FLOT1 (BD Biosciences 610820); anti-TOLL1P (Abcam ab187198); anti-VPS4B (Santa Cruz sc-32922); anti-DNAJA1 (Abcam ab126774); anti-HSPA8/HSC70 (LifeSpan Biosciences LS-C312344-100). All primary antibodies were used at 1:1,000× dilution. IRDye 800 CW Goat-anti-mouse IgG (LI-COR Biosciences P/N 926-32210, 1:15.000× dilution), HRP-linked Sheep-anti-Mouse IgG (GE Healthcare Life Sciences NA931, 1:2,500× dilution), and HRP-linked Donkey-anti-Rabbit IgG (GE Healthcare Life Sciences NA934, 1:2,500× dilution) were used as secondary antibody. The blot was analyzed either using the Odyssey Imaging system (LI-COR Biosciences) or enhanced chemiluminescence substrates (Thermo Fisher Scientific).

Analysis of Proteomic Profiling Data. Protein mass spectrometry analyses of fractionated exosomes were performed at the Rockefeller University Proteomics Resource Center as described previously (Costa-Silva et al., “Pancreatic Cancer Exosomes Initiate Pre-Metastatic Niche Formation in the Liver,” Nature Cell Biology 17:816-826 (2015); Hoshino et al., “Tumour Exosome Integrins Determine Organotropic Metastasis,” Nature 527:329-335 (2015), which are hereby incorporated by reference in their entirety), and conducted on two independent biological replicates for each sample (exomere, Exo-S and Exo-L) derived from 5 different cell lines (B16-F10, 4T1, Pan02, AsPC-1 and MDA-MB-4175).

For proteomic data processing and Principal Component Analysis (PCA), the proteomic expression data was processed using the ‘Limma’ package of the R program. Proteomic expression data was imported and was normalized using ‘normalizeBetweenArrays’ function (method=quantile) (Bolstad et al., “A Comparison of Normalization Methods For High Density Oligonucleotide Array Data Based on Variance and Bias,” Bioinformatics 19:185-193 (2003), which is hereby incorporated by reference in its entirety). PCA was performed for data reduction, simplifying datasets to three dimensions for plotting purposes using ‘princomp( )’ function with default options, and illustrated using the ‘rgl’ package and ‘plot3d( )’ function.

For clustering and marker selection, Consensus clustering analysis, marker selection for each fraction, and heatmap generation were conducted using GENE-E software. Consensus clustering was conducted to assess whether proteomic expression differs between fraction (Monti et al., “Consensus Clustering: A Resampling-Based Method for Class Discovery and Visualization of Gene Expression Microarray Data,” Mach Learn 52:91-118 (2003), which is hereby incorporated by reference in its entirety). To identify fraction-specific markers, the probe (based on UniProt ID) values were collapsed to protein-level using maximum probe. Only proteins detected in both replicates of a sample were included for further analysis. Proteins were sorted by signal-to-noise statistic, (μ_(A)−μ_(B))/(α_(A)+α_(B)) where μ and α represent the mean and standard deviation of proteomic expression, respectively, for each class (Golub et al., “Molecular Classification of Cancer: Class Discovery and Class Prediction by Gene Expression Monitoring” Science 286:531-537 (1999), which is hereby incorporated by reference in its entirety). Next, the signal to noise marker selection tool from GENE-E was used to identify fraction-specific markers with 1,000 permutations. The cutoff to select fraction-specific markers was fold change ≥5, false discovery rate (FDR)<0.05, and mean protein expression ≥10⁸ with the positivity in ≥80% (i.e. at least 4 out 5 samples from 5 cell lines for each nanoparticle subset) of the corresponding fraction. Heat maps for visualization of differential protein expression patterns were generated for 65 markers (39 exomere-specific markers; 5 Exo-S markers; 21 Exo-L markers) using GENE-E with relative color scheme (by subtracting each mean protein expression, divide by each standard deviation for each row).

For Gene Set Enrichment Analysis (GSEA) the entire proteomic expression data set (Subramanian et al., “Gene Set Enrichment Analysis: A Knowledge-Based Approach for Interpreting Genome-Wide Expression Profiles,” Proc Natl Acad Sci USA 102:15545-15550 (2005), which is hereby incorporated by reference in its entirety) was used. Gene sets from Molecular signatures database v5.1 were used for GSEA (H: 50 hallmark gene sets; C2:KEGG: 186 canonical pathways from Kyoto Encyclopedia of Genes and Genomes [KEGG] pathway database; C5: 825 gene sets based on Gene Ontology [GO] term) (Liberzon et al., “Molecular Signatures Database (MSigDB) 3.0,” Bioinformatics 27:1739-1740 (2011), which is hereby incorporated by reference in its entirety). The default parameters were used to identify significantly enriched gene-sets (FDR q<0.25).

Glycoprotein extraction and lectin blotting. Nanoparticles were lysed with RapiGest SF (Waters) containing 1 mM sodium orthovanadate and protease inhibitor cocktail (Roche), for 30 minutes on ice and centrifuged at 16,000×g for 20 minutes. For lectin blotting 0.5 μg of total protein extracts were separated using 4-15% gradient gels (Biorad) and transferred onto nitrocellulose membranes. Samples were incubated at room temperature (RT) for 1 hour with the following biotinylated lectins Aleuria aurantia Lectin (AAL; Fucα6GlcNAc and Fucα3GlcNAc), Sambucus nigra Lectin (SNA: Neu5Acα6(Gal or GalNAc)). Phaseolus vulgaris Leucoagglutinin (L-PHA; Galβ4GlcNAcβ6(GlcNAcβ2Manα3)Manα3), and Phaseolus vulgaris Erythroagglutinin (E-PHA; Galβ4GlcNAcβ2Manα6(GlcNAcβ4)(GlcNAcβ4Manα3)Manβ4) (Vector Laboratories, 1:2000 dilution except 1:1000 dilution for L-PHA). Vectastain Elite ABC HRP Kit (Vector Laboratories) was used for signal detection with ECL enhanced chemiluminescence technique (GE Healthcare Life Sciences). The total protein profile of the samples was assessed in parallel on a silver-stained gel (FIG. 9A). (Abbreviations: Fuc, fucose; GlcNAc, N-acetylglucosamine; Man, mannose; Neu5Ac, neuraminic acid; Gal, galactose; GalNAc, N-acetylgalactosamine.)

Glycomics analysis. The glycoproteins extracts from the different fractions were reduced, alkylated and digested with sequencing-grade, modified trypsin (Promega) using a standard proteomics protocol (Ferreira et al., “Synthesis and Optimization of Lectin Functionalized Nanoprobes for the Selective Recovery of Glycoproteins from Human Body Fluids,” Analytical Chemistry 83:7035-7043 (2011), which is hereby incorporated by reference in its entirety). The N-glycans were analyzed based on a modification of Jensen et al (Kolarich et al., “Isomer-Specific Analysis of Released N-Glycans by LC-ESI MS/MS with Porous Graphitized Carbon,” Methods in Molecular Biology 1321:427-435 (2015), which is hereby incorporated by reference in its entirety). Briefly, N-Linked glycans were released with PNGase F (Eliaabethkingia meningoseptica: Sigma), deaminated and partially purified using porous graphitized carbon solid-phase extraction cartridges (PGC-SPE, HyperSep-96-Hypercarb, 25 mg, Thermo Scientific) as described previously (Jensen et al., “Structural Analysis of N- and O-Glycans Released from Glycoproteins,” Nature Protocols 7:1299-1310 (2012), which is hereby incorporated by reference in its entirety). Glycan profiling and characterization was performed by MALDI TOF/TOF mass spectrometry (4800 Plus, SCIEX) using alpha-cyano-4-hydroxycinnamic acid (CHCA; 10 mg/mL in 50% ACN), operated in reflector negative mode (mass range of m/z 1000 to 5000) with external calibration (TOF/TOF calibration mixture, SCIEX). Three independent analytical measurements were performed. NanoHPLC-High Resolution Mass Spectrometry (HRMS) was used to validate the presence of most discriminative ions in MALDI-MS spectra using a nanoHPLC system (Dionex, 3000 Ultimate RSLCnano) coupled on-line to a LTQ-Orbitrap XL mass spectrometer (Thermo Scientific) equipped with a nano-electrospray ion source (Thermo Scientific, EASY-Spray source). N-Glycan chromatographic separation using Porous Graphitized Carbon (PGC) was adapted from a procedure previously described (Jensen et al., “Structural Analysis of N- and O-Glycans Released from Glycoproteins,” Nature Protocols 7:1299-1310 (2012), which is hereby incorporated by reference in its entirety). A nanoflow PGC column (Hypercarb, 150 mm×75 μm ID, 3 μm particle size. Thermo Scientific) followed by a reversed phase C18 column (EASY-Spray C18 PepMap, 100 Å, 150 mm×75 μm ID and 3 μm particle size, Thermo Scientific) were combined in series. This allowed a better separation of carbohydrates and remaining tryptic peptides, while minimizing salt precipitation events encountered when a nanospray emitter was utilized directly after the PGC column. The mass spectrometer was operated in negative ion mode.

The monosaccharide compositions for the glycan precursors on MALDI-MS spectra were predicted using the GlycoMod tool considering mass accuracies bellow 10 ppm. The possibility of neutral exchanges with Na⁺ and K⁺ was considered for sialoglycans. The glycan structures were assigned based on nanoHPLC-PGC-HRMS analysis considering: i) molecular monoisotopic mass; (ii) CID-MS/MS de novo sequencing; and (iii) PGC-LC relative retention times. In particular, α2,3-linked and α2,6-linked sialylated N-glycans were differentiated based on retention time (α2,6<α2,3) (Kolarich et al., “Isomer-Specific Analysis of Released N-Glycans by LC-ESI MS/MS with Porous Graphitized Carbon,” Methods in Molecular Biology 1321:427-435 (2015), which is hereby incorporated by reference in its entirety). For further validation, MS/MS fragmentation profiles were matched to glycosidic fragments calculated in silico on GlycoWorkBench (Ceroni et al., “GlycoWorkbench: a Tool for the Computer-Assisted Annotation of Mass Spectra of Glycans,” Journal of Proteome Research 7:1650-1659 (2008), which is hereby incorporated by reference in its entirety). General understanding of mammalian N-glycosylation was used to determine some structural aspects, yet some structural ambiguity remained in a subset of the reported N-glycans as indicated with brackets. A semiquantitive approach was used to compare glycan compositions based on MALDI-MS assignments, taking into account the monoisotopic peak intensity. Glycan standards and negative controls were analyzed in parallel. These results were validated based on the intensity of each specie on nanoHPLC-HRMS ion chromatograms (EIC) (m/z±0.01).

Lipidomics: sample preparation, mass spectrometry and data analysis. Equal amount of each sample (based on BCA quantification) was subjected to lipidomic analysis. Samples were first sonicated with a Model Q700 QSonica sonicator equipped with an Oasis 180 Chiller (4° C.; Amplitude, 95; process, 5 minutes; pulse-on 30 sec; plus-off 55 sec), centrifuged at 14.800 rpm for 10 minutes at 4° C., and 50 μL of the extract supernatant was spiked with 2 μL 50 μg/mL internal standard mixture (Cer 18:1/12:0; PC 12:0/12:0; PE 14:0/14:0; PG 14:0114:0; PS 14:0/14:0). Subsequently, the samples were analyzed by using the Thermo Q-Exactive MS system (Bremen, Germany) in the Metabolomics Laboratory of Roy J. Carver Biotechnology Center, University of Illinois at Urbana-Champaign. Software Xcalibur 3.0.63 was used for data acquisition and analysis. The Dionex Ultimate 3000 series HPLC system (Thermo, Germering, Germany) was used, and the LC separation was performed on a Thermo Accucore C18 column (2.1×150 mm, 2.6 μm) with mobile phase A (60% acetonitrile: 40% H₂O with 10 mM ammonium formate and 0.1% formic acid) and mobile phase B (90% isopropanol: 10% acetonitrile with 10 mM ammonium formate and 0.1% formic acid) and a flow rate of 0.4 mL/min. The linear gradient was as follows: 0 minutes, 70% A; 4 minutes, 55% A; 12 minutes, 35% A; 18 minutes, 15% A; 20-25 minutes, 0% A; 26-33 minutes, 70% A. The autosampler was set to 15° C. and the column was kept at 45° C. The injection volume was 10 μL. Mass spectra were acquired under both positive (sheath gas flow rate, 50; aux gas flow rate: 13; sweep gas flow rate, 3; spray voltage, 3.5 kV; capillary temperature, 263° C.; Aux gas heater temperature, 425° C.) and negative electrospray ionization (sheath gas flow rate, 50; aux gas flow rate: 13; sweep gas flow rate, 3; spray voltage, −2.5 kV; capillary temperature, 263° C.; Aux gas heater temperature, 425° C.). The full scan mass spectrum resolution was set to 70,000 with the scan range of m/z 230˜m/z 1,600, and the AGC target was 1E6 with a maximum injection time of 200 msec. For MS/MS scan, the mass spectrum resolution was set to 17,500, and the AGC target was 5E4 with a maximum injection time of 50 msec. Loop count was 10. Isolation window was 1.0 m/z with NCE of 25 and 30 eV. For data analysis, LipidSearch (v.4.1.30, Thermo) was used for lipid identification. The lipid signal responses were normalized to the corresponding internal standard signal response. For those lipid classes without corresponding internal standard, positive lipid ion signals were normalized with the signal of internal standard Cer 18:1/12:0 and negative ion signals were normalized with the signal of internal standard PG 14:0/14:0. The percentage of lipid classes within a sample was calculated by adding that of each of the individual molecular species quantified within a specific lipid class, and the relative abundance was represented by the mean percentage of 3 replicates for each group of samples. Differences among different subpopulations of particles derived from the same cell line were analyzed using ANOVA test (q<0.05).

Nucleic acid analysis. DNA was extracted from nanoparticles using the AMPure XP beads (Agencourt) following the manufacturers protocol. An equal volume of nanoparticles in PBS and lysis buffer AL (QIAGEN) were mixed and incubated with Proteinase K (20 μg/ml, QIAGEN) at 56° C. for 10 minutes. The mixture was mixed with one volume of each, AMPure beads, isopropanol and PEG solution (Beckman), and incubated for 5 minutes at RT. DNA bound to the beads was then separated from the solution/supernatant on magnet for 5 minutes at RT. The supernatant was removed by pipetting and bead-bound DNA was washed twice with freshly prepared 80% ethanol, then air dried for 5 minutes. Lastly, DNA was eluted from beads with nuclease free water and quantified using QuBit assay (Life Technology). DNA extraction was performed for two independent biological replicates of each sample.

RNA was extracted using the Ambion mirVarna kit (Life technology), following the manufacturer's protocol with one modification: one volume of nanoparticles in PBS was first lysed with 7 volumes of lysis buffer. The samples were analyzed using Agilent Total RNA Pico kits. RNA extraction was performed for two independent biological replicates of each sample.

Biodistribution assessment. Fractionated nanoparticles were first labeled with the near infrared dye CellVue N1R815 (eBioscience) following manufacturer's protocol, followed by washing with 20 ml of PBS and pelleting by ultracentrifugation at 100,000×g for 70 minutes at 10° C. 10 μg of labeled nanovesicles resuspended in 100 μl of PBS, or an equivalent volume of mock reaction mixture was retro-orbitally injected into naïve mice (6-week-old female C57BL6 mice purchased from Jackson Labs). 24 hours post injection, tissues were collected and analyzed using the Odyssey imaging system (LI-COR Biosciences). Two independent experiments with 3 animals per group were performed. No statistical method was used to predetermine sample size. The experiments were neither randomized, nor blinded. All animal experiments were performed in compliance with ethical regulations and in accordance with Weill Cornell Medicine institutional, IACUC and AAALAS guidelines, approved for animal protocol 0709-666A.

Statistics and Reproducibility. Error bars in graphical data represent means±SEM. Statistical significance is determined using one way ANOVA. P<0.05 was considered statistically significant. Statistical analyses were performed using GraphPad Prism software. For lipid class analysis, ANOVA test (q<0.05) was performed using Qlucore Omics Explorer (Sweden). For proteomic analysis, proteins were sorted by signal-to-noise statistic, (μA−μB)/(αA+αB) where μ and α represent the mean and standard deviation of proteomic expression, respectively. The cutoff to select fraction-specific markers was fold change ≥5, false discovery rate (FDR)<0.05, and mean protein expression 0.10 with the positivity in ≥80% (i.e. at least 4 out 5 samples from 5 different cell lines for each subset of nanoparticles) of the corresponding fraction. For GSEA, Kolmogorov-Smirnov statistic was calculated to evaluate whether proteins from a pre-determined pathway are significantly overrepresented towards the top or bottom of the ranked gene list (FDR q<0.25).

Multiple AF4 analyses were performed for each cell line studied in this work: B16-F10.>50× (repeated times); AsPC-1, 9×; Pan02, 16×; MDA-MB-4175 (4175), 17×; and 4T1, 10×. TEM imaging analysis of fractionated particles were conducted for B16-F10. 7×; AsPC-1, 3×; Pan02, 2×; 4175, 1×; and 4T1, 4×. Four independent human melanoma specimens were analyzed using AF4 and two of them were analyzed by TEM. Proteomic profiling of exomeres. Exo-S and Exo-L was performed on two biologically independent samples of each particle derived from five different cell lines (B16-F10: AsPC-1: Pan02; 4175; and 4T1). Western blotting validation of specific signature proteins of each particle subtype was done once (noted in the legend for FIG. 1D). For A-glycan study, lectin blotting was repeated independently twice except for AA L and E-PH A blotting for B16-F10 and 4175 which were done once (FIG. 8A). Glycomic MS was performed on two biologically independent B16-F10 samples and one sample of AsPC-1 and 4175 (FIGS. 9B-9D). Quantification of top 6 most abundant glycans was based on 3 independent analytical measurements of one experiment (FIG. 8C, FIGS. 9C and 9D). Silver stained-PAGE analysis was repeated independently twice for B16-F10 and 4175 and once for AsPC-1 (FIG. 9A). NanoHPLC-PGC-HRMS was done once (FIGS. 9E-9I). Lipidomic analysis was conducted on 3 biologically independent samples. DNA and RNA analyses of each particle subtype were repeated twice. Organ biodistribution analysis of each particle subtype was repeated 4× independently. NTA analysis was conducted using 3 biologically independent samples. TEM analysis was repeated 3 times for AF4 peaks P1 and P5 and once for HDL, LDL and VLDL (FIG. 7D). AF4 analysis of B16-F10 sEVs collected from technical and biological replicates, and samples kept at either 4° C. or −80° C. were repeated independently 3 times, cells of different passage numbers twice, and under hypoxic versus normoxic conditions was repeated with 3 different cell lines independently. AF4 and TEM analysis of particles isolated from the blank media control and CM of B16-F10 and 4175 was done once (FIGS. 2J and 2K).

Independent measurements of hydrodynamic diameters of exomeres, Exo-S and Exo-L derived from different cell lines in batch mode were repeated (in the order of exomere, Exo-S and Exo-L): B16-F10 (n=10, 9, and 8 independent measurements, respectively); Pan02 (n=11, 6, 11); AsPC-1 (n=5, 5, 5); 4175 (n=3, 5, 3); 4T1 (n=5, 5, 5)). For zeta potential, independent measurements were repeated: B16-F10 (n=8, 10, 12); Pan02 (n=13, 11, 13); AsPC-1 (n=12, 12, 12); 4175 (n=17, 9, 6); 4T1 (n=13, 3, 9). For stiffness, B16-F10 (n=6, 6, 6); Pan02 (n=6, 6, 6); AsPC-1 (n=21, 19, 16); 4175 (n=11, 10, 5); 4T1 (n=9, 8, 9). For AFM imaging analysis of the height of exomeres: B16F10 (n=754 particles analyzed), AsPC1 (n=475) and 4175 (n=160). AFM imaging of exomeres was repeated with samples derived from 3 different cell lines.

For all experiments described above, all attempts at replication were successful with similar results.

Data Availability. The datasets for proteomic analysis of exomeres, Exo-S and Exo-L subpopulations derived from various cancer cell lines have been deposited.

Proteins that are uniquely associated with or among the top 50 most abundant proteins in exomere, Exo-S and Exo-L derived from different cancer cell lines are shown in Table 1 below.

TABLE 1 Top 50 most abundant proteins identified in each subset of particles. B16F10 Pan02 4T1 exomere Exo-S Exo-L exomere Exo-S Exo-L exomere Exo-S HBA1/HBA2 TYRP1 HSPA8 HBA1/HBA2 SDCBP ACTC1 Hbb-b1 SDCBP ITIH2 SDCBP TYRP1 ITIH2 PDCD6IP ACTG1 HBA1/HBA2 HISTIH2BN GSN SDCBP SDCBP ACTB HSPA8 ACTB HIST1H2BN HIST1H2AH ITIH3 CD63 HSPA2 ACTC1 IGSF8 MFGE8 ITIH2 HBA1/HBA2 GAPDH IGSF8 RPS27A GSN CD9 ITGB1 HIST1H2AH ITGB1 ACTG1 HSPA8 HSPA1L SERPINC1 PTGFRN HSPA8 HBG2 Hist1h4a HIST1H2AH MLANA MLANA HTRA1 ACTC1 ITGA3 H2AFX PDCD6IP H2AFX HBA1/HBA2 HSPA5 ENO1 LY6E SDCBP Hist1h4a HIST3H2BB ACTC1 GPNMB CD63 SDCBP ACTB GAPDH ACTG1 H2AFX TYRP1 DCT IGSF8 THBS1 MFGE8 LGALS1 ACTB CD9 SDCBP HSPA2 GPNMB TUBB HSPA2 ENV1 ACTC1 CD63 ENO1 HSPA1L Fv4 TUBB4B CD81 Fv4 GSN ITGA3 Pzp HSPA5 ENV1 GAPDH ITGA3 YWHAZ HIST2H2AB ITIH2 HSP90AB1 Fv4 PDCD6IP HSPA8 ITGB1 PPIA H2AFZ MFGE8 HSPA2 PDCD6IP HSPA1A/ TUBB6 ITIH2 GNB1 Hist1h3b H2AFZ HSPA1B TUBA4A RAB7A DCT TUBA4A VPS28 GNAI2 Hist1h3a PTGFRN HSPA1L ENV1 ACTG1 HSP90AB1 CD63 GNB2 ACTBL2 Hist1h3b SERPINC1 CD81 ACTB PGK1 HTRA1 ACTBL2 ENO1 HSPA8 APOE GNB1 PPIA CD9 ENV1 GNAI3 GAPDH ACTG1 TUBB SYT4 SLC3A2 EEF1A1 Fv4 CLF1 PFN1 ACTB TUBB4B GNB2 ACTC1 TUBB4A GSN Marcks HTRA1 ARRDC1 TUBB4A HIST1H2AH CD81 LGALS38P ENO1 GNAS TUBB ACTC1 HSPA5 GNAI2 ITM2C ITGB1 EDIL3 EEF1A1 TUBB2A ITIH3 GALK1 GAPDH RAB7A PPIA MVB12A ENO1 TUBA4A IGSF8 PKM APOE GNB1 PKM IFITM3 BSG EZR GSN IGSF8 BC035947 TSPAN4 TLN1 SERPINC1 Calm1 TUBB4B TUBA4A ALDH1L1 Hist1h2al DNAJA1 HSPA5 ACTBL2 S100A4 TUBB4A HIST1H1D RAN ACTG1 GNB2 FLNA TUBA4A MSN HSP90AB1 TUBA1A PPIA ACTB TFRC PDCD6IP PPIA EZR HIST1H1D HIST1H1C ALB GNB4 HBA1/HBA2 CD81 HSPA1A/ RDX HIST1H1C THBS1 HSPA1B EEF1A1 GNAI3 GNAI2 WDR1 HSPA5 PTGFRN Hist1h1e HSPA2 TLN1 5LC3A2 SYT4 CPNI GAPDH PKM TUBB6 ENO1 PDCD6IP ACTC1 GAPDH IFITM3 TSG101 PKM PGK1 MVB12A PGK1 GNAS APDE ENO3 TUBB SLC3A2 TLN1 HTRA1 THBS3 SLC38A2 PMEL PGK2 PLEKHB2 HBA1/HBA2 PKM GAPDH ALDH9A1 HIST2H2BF MFGE8 HSP90B1 TUBA1C EDIL3 SDCBP Hist1h1e RAB7A ATP1A1 GNB4 ITGA3 TUBB4B GNAI3 PPIA VPS28 ACD1 TFRC GNAI3 FBLN1 PFN1 RHOA EEF1A1 TSG101 Hist1h3b TMEM176B GNAD1 IGSF8 GPC1 RHOC HSPA2 TUBB CPN1 VAMP8 DNAJA2 RAP1B GJA1 S100A6 FLNA TUBB4A GPNMB TSPAN10 ATP1A1 GmS424 EHD1 YWHAE RAN RAP1B GDIZ ADGRG1 ITGB1 MFGE8 GNB2 ALDOA RAP1B PFN1 DCT Hist1h4a TMEM59 ILK TSPAN4 PDCD6IP HSPA5 CD81 Gm5424 PMEL SLC36A2 ADK GNAI2 PFN1 FBLN1 VPS37B LGALS3BP UBL3 GNA12 PYGL SLC3A2 HSP90AB1 PGK2 TUBB6 PGD PPIA ITM2B HPD VP537B YWHAQ CPN1 RAP1A EEF1A2 ACTBL2 GNAS GNB1 GNAI3 ANXA1 WDR1 EPCAM PYGL CD9 HIST1H2AH ATIC RAB7A ANXA2 ENO3 Hist1h1b PHGDH BACE2 LAMP1 AKR1B1 EEF1A1 ATP1A1 EEF2 PPIA Hist1h4a TSPAN4 EEF1A1 THB53 GNAS ITGA6 PYGL ADAM10 4T1 MDA-MB-4175 AsPC1 Exo-L exomere Exo-S Exo-L exomere Exo-S Exo-L PDCD6IP HBA1/HBA2 HBA1 EDIL3 ALB ALB UBC SDCBP HBA1 HIST1H2BK HBA1/HBA2 HBA1/HBA2 HBA1/HBA2 HBA1/HBA2 EHD1 C3 A2M UBC A2M CD9 CD9 ITGB1 AFP EDIL3 SDCBP F2 UBC ACTG1 S100A6 ITIH4 SDCBP HSPA8 ACTG1 SDCBP ACTB ITGA3 HBG2 MFGE8 ITGB1 ACTB F2 CD59 CD9 GSN GSN CD9 ACTC1 ACTG1 MVP VPS37C ITIH3 HIST2H2AC HSPA2 ACTA2 ACTB SDCBP Hist1h4a A2M HIST2H2AC ACTC1 POTEJ CD59 ACTC1 RAP1B ACTG1 H2AFX ACTB GSN ACTC1 ACTA2 CTNNA1 ACTC1 ACTB ACTG1 AHCY ACTA2 HIST1H2BK MSN ACTBL2 THBS1 PDCD6IP ENO1 A2M HIST2H2AC HIST1H2AH FGB ITIH4 AFP THBS1 HIST1H2BK ALB ITGA2 THBS1 TUBB HBG2 LGALS3BP HIST1H2BJ HSPA8 PTGFRN ENO1 TUBB2A ANXA2 HSP90AA1 HSPA8 HIST1H2BJ ACTG1 HIST2H2AC TUBB4B ITGA3 HSP90AB1 TSPAN3 CD55 HIST1H2BN HIST1H2AB F10 HIST1H2BK F5 HIST2H2AC H3F3A Calm1 HIST1H2BK H2AFZ GAPDH PKM CD55 TSPAN3 EPCAM COMP TUBB4A CD81 EEF1A1 H3F3A/H3F3B HIST2H3PS2 ITGA6 LGALS3BP TUBB6 SLC3A2 TLN1 HIST2H3PS2 POTEJ YWHAE HIST1H2BJ TUBB1 GNAI2 AHCYL2 PDCD6IP DPP4 HSPA1A/ GAPDH HSPA8 GNAI3 AHCYL1 ITGB1 NT5E HSPA1B GNB1 C7 CD9 GNAI1 EEF1A2 POTEJ EPCAM SLC3A2 TUBA4A CD81 ATP1A1 TUBA4A SERINC5 VNN1 GNB2 PGK1 GAPDH HIST2H2AC PFN1 H2AFZ H2AFZ EHD2 HSP90AB1 PFN1 CPNE8 TUBA1A ARRDC1 ITGB1 H2AFX TUBB HIST1H4A IST1 HIST1H2BK CLDN3 ALPPL2 PPIA TUBB2A HSP90AA1 PFN1 PRSS23 NT5E HIST2H2AB NT5E TUBB4B HSP90AB1 TUBA4A HSP90AB4P EPCAM ATP1A1 VPS4B HIST2H2AB HSPA2 H2AFX HIST1H2BJ CDH17 ALPP GNB4 H2AFZ HIST2H3A TUBA1C TUBB4B ATP1A1 IST1 Cdc42 FBLN1 PGK1 HSPA5 TUBB ALPPL2 PDCD6IP SLC1A5 EEF1A1 THBS2 YWHAZ ASS1 HIST2H2AB MUC13 GNAI2 TLN1 EEF1A1 ENO1 PGK1 ALPP ANXA11 CFL1 HIST1H4A GPX3 ANXA5 HSPAB HSPA2 HSPA2 YWHAH HSPA8 ITGB1 GNAS ACO1 TSPAN8 CDH17 EEF1A1 TUBB4A PPIA DNAJA1 GAPDH MVP GPA33 YWHAB GPX3 PDCD6IP CHMP5 TUBB2A ADAM10 ANXA2 Hist1h3b PKM EEF1A2 EEF1A1 TUBB4A THBS1 S100A6 TSG101 F10 FBLN1 RHOA THBS2 VNN1 ATP1A2 YWHAG THBS2 ATIC KRT1 H3F3A/H3F3B ITGAV PPIA ANXA5 RAN CPNE8 CEP55 APOM IGSF8 EGFR GNAI3 TUBB6 TLN1 GNB1 HIST2H3PS2 MYOF TSPANB F5 GSTP1 HSPA5 ACTBL2 AKR1A1 ATP1A2 MYOF H3F3A/H3F3B PYGL PKM ITGA2 TUBB6 AHCY GNAI1 CHMP4B EEF1A2 HIST1H1C EPHA2 TUBB3 GSN GNAI2 HSPA5 ASS1 WDR1 GNA13 RAN TSPAN1 GNAI3 EZR WDR1 RAN PPIA CAP1 PPIA S100A4 GAPDH FLNA PYGL RAP1A F10 SDCBP2 CLDN3 CD81 HIST2H3A ITGA3 CD59 PPIA HSPA5 A2M

Proteomics analysis of lipoprotein particles are shown in Table 2.

TABLE 2 Accession Gene Symbol Gene Name HDL LDL VLDL P02768 ALB Serum albumin 1.114E8 1.714E7 1.365E6 P02760 AMBP Protein AMBP 5.229E6 4.802E7 P02647 APOA1 Apolipoprotein A-II  1.251E11 1.046E8 4.111E8 P02652 APOA2 Apolipoprotein A-II  6.485E10 8.811E7 3.404E8 P06727 APOA4 Apolipoprotein A-IV 7.529E8 1.501E7 3.977E7 A0A087WTM7 APOB Apolipoprotein B-100 7.138E6 2.401E9  1.118E10 P04114 APOB Apolipoprotein B-100 7.138E6 2.401E9  1.118E10 K7ERI9 APOC1 Truncated apolipoprotein C-1 (Fragment)  1.144E10 2.412E8 9.354E9 P02656 APOC3 Apolipoprotein C-III  1.545E10 1.204E9  4.632E10 K7ER74 APOC4 Apolipoprotein C-IV 8.593E9 2.013E8  2.683E10 P55056 APOC4 Apolipoprotein C-IV 1.389E6 3.439E6 1.013E9 P05090 APDD Apolipoprotein D 8.067E9 2.328E8 1.093E9 P02649 APOE Apolipoprotein E 6.179E8 6.243E7  1.026E10 Q13790 APOF Apolipoprotein F 5.347E8 1.056E7 P02749 APOH Beta-2-glycoprotein 1 3.014E7 O14791 APOL1 Apolipoprotein L1 7.094E8 8.268E6 2.637E7 O95445 APOM Apolipoprotein M 3.924E9 3.639E7 2.070E8 P61769 B2M Bets-2-microglobulin 6.130E6 2.207E7 P01024 C3 Complement C3 2.058E8 2.987E7 7.496E7 B0UZ83 C4A Complement C4 beta chain 1.006E8 5.074E7 F5GXS0 C4B C4b-B 8.376E7 5.074E7 P49913 CAMP Cathelicidin antimicrobial peptide 2.654E7 1.211E8 Q92496 CFHR4 Complement factor H-related protein 4 1.383E8 P10909 CLU Clusterin 4.354E7 1.295E8 P02671 FGA Fibrinogen alpha chain 5.793E6 2.376E7 A0A087WU08 HP Haptoglobin 2.265E6 6.358E6 A0A075B6H6 IGKC Ig kappa chain C region (Fragment) 1.104E7 2.19457 P60985 KRTDAP Keratinocyte differentiation-associated protein 8.309E6 5.140E6 P04180 LCAT Phosphatidylcholine-sterol acyltransferase 2.616E7 P08519 LPA Apolipoprotein(a) 9.171E6 6.704E7 Q9UHG3 PCYOX1 Prenylcysteine oxidase 1 3.599E7 6.826E6 1.179E8 Q13093 PLA2G7 Platelet-activating factor acetylhydrolase 3.283E6 3.818E7 P55058 PLTP Phospholipid transfer protein 2.825E7 P27169 PON1 Serum paraoxonase/arylesterase 1 8.966E8 1.531E6 9.747E7 Q15166 PON3 Serum paraoxonase/lactonase 3 3.961E8 1.029E8 P0DJI8 SAA1 Serum amyloid A-1 protein 2.726E9 1.030E7 1.102E7 P0DJI9 SAA2 Serum amyloid A-2 protein 9.455E8 2.518E6 6.650E6 A0A096LPE2 SAA2-SAA4 Protein SAA2-SAA4  1.620E10 4.256E7 3.075E9 P01009 SERPINA1 Alpha-1-antitrypsin 1.175E9 2.892E6 1.536E7 P02766 TTR Transthyretin 4.141E6 9.975E6 P04304 VTN Vitronectin 1.668E7 1.276E7 Gene set enrichment analysis (GSEA) of proteins associated with exomeres, Exo-S and Exo-L derived from various cancer cell lines are shown in Tables 3-5.

TABLE 3 GSEA for Exomeres. Fdr Q Value P (Cutoff < Name Size Es Nes Value 0.05) Hallmark_Mtorc1_Signaling 105 0.45 2.60 <0.001 <0.001 Hallmark_Glycolysis 90 0.44 2.46 <0.001 <0.001 Hallmark_Fatty_Acid_Metabolism 53 0.43 2.11 <0.001 0.002 Hallmark_Myc_Targets_VI 114 0.36 2.18 <0.001 0.002 Hallmark_Xenobiotic_Metabolism 75 0.39 2.12 <0.001 0.002 Hallmark_Hypoxia 75 0.37 1.99 <0.001 0.004 Hallmark_Unfolded_Protein_Response 32 0.42 1.86 0.011 0.010 Hallmark_Adipogenesis 48 0.36 1.81 0.003 0.012 Hallmark_Coagulation 62 0.34 1.78 0.003 0.013 Hallmark_Bile_Acid_Metabolism 23 6.42 1.67 0.023 0.025 Hallmark_Reactive_Oxigen_Species_Pathway 24 0.39 1.60 0.032 0.037 Kegg_Glycolysis_Gluconeogenesis 32 0.72 3.22 <0.001 <0.001 Kegg_Amino_Sugar_And_Nucleotide_Sugar_Metabolism 23 0.77 3.12 <0.001 <0.001 Kegg_Aminoacyl_Trna_Biosynthesis 20 0.73 2.80 <0.001 <0.001 Kegg_Fructose_And_Mannose_Metabolism 16 0.78 2.78 <0.001 <0.001 Kegg_Pentose_Phosphate_Pathway 18 0.74 2.67 <0.001 <0.001 Kegg_Starch_And_Sucrose_Metabolism 18 0.69 2.58 <0.001 <0.001 Kegg_Proteasome 28 0.59 2.48 <0.001 <0.001 Kegg_Drug_Metabolism_Cytochrome_P450 17 0.66 2.36 0.003 0.000 Kegg_Glutathione_Metabolism 29 0.56 2.36 <0.001 0.000 Kegg_Metabolism_Of_Xenobiotics_By_Cytochrome_P450 20 0.57 2.13 0.003 0.002 Kegg_Cysteine_And_Methionine_Metabolism 15 0.58 2.07 <0.001 0.002 Kegg_Purine_Metabolism 40 0.40 1.93 0.003 0.007 Kegg_Tyrosine_Metabolism 15 0.52 1.83 0.003 0.013 Kegg_Complement_And_Coagulation_Cascades 31 0.39 1.69 0.018 0.030 Go_Organic_Acid_Metabolic_Process 252 0.52 3.52 <0.001 <0.001 Go_Cellular_Amino_Acid_Metabolic_Process 100 0.58 3.36 <0.001 <0.001 Go_Adp_Metabolic_Process 22 0.83 3.34 <0.001 <0.001 Go_Oxidation_Reduction_Process 171 0.51 3.33 <0.001 <0.001 Go_Coenzyme_Metabolic_Process 82 0.60 3.33 <0.001 <0.001 Go_Nucleotide_Phosphorylation 26 0.77 3.31 <0.001 <0.001 Go_Oxidoreduction_Coenzyme_Metabolic_Process 44 0.69 3.30 <0.001 <0.001 Go_Cofactor_Metabolic_Process 98 0.58 3.28 <0.001 <0.001 Go_Cofactor_Binding 54 0.63 3.27 <0.001 <0.001 Go_Carbohydrate_Catabolic_Process 44 0.67 3.23 <0.001 <0.001 Go_Atp_Generation_From_Adp 21 0.83 3.19 <0.001 <0.001 Go_Generation_Of_Precursor_Metabolites_And_Energy 60 0.61 3.18 <0.001 <0.001 Go_Monosaccharide_Biosynthetic_Process 25 0.76 3.11 <0.001 <0.001 Go_Hexose_Catabolic_Process 24 0.74 3.08 <0.001 <0.001 Go_Carbohydrate_Biosynthetic_Process 50 0.63 3.08 <0.001 <0.001 Go_Alpha_Amino_Acid_Metabolic_Process 67 0.58 3.08 <0.001 <0.001 Go_Cellular_Modified_Ammo_Acid_Metabolic_Process 76 0.56 3.07 <0.001 <0.001 Go_Monosaccharide_Metabolic_Process 59 0.58 3.03 <0.001 <0.001 Go_Proteasome_Accessory_Complex 21 0.75 3.01 <0.001 <0.001 Go_Pyruvate_Metabolic_Process 27 0.71 2.98 <0.001 <0.001 Go_Hexose_Metabolic_Process 48 0.62 2.97 <0.001 <0.001 Go_Nadh_Metabolic_Process 22 0.74 2.95 <0.001 <0.001 Go_Oxidoreductase_Activity 124 0.49 2.95 <0.001 <0.001 Go_Small_Molecule_Metabolic_Process 418 0.41 2.95 <0.001 <0.001 Go_Carbohydrate_Metabolic_Process 167 0.45 2.95 <0.001 <0.001 Go_Small_Molecule_Biosynthetic_Process 118 0.49 2.92 <0.001 <0.001 Go_Monosaccharide_Catabolic_Process 28 0.70 2.88 <0.001 <0.001 Go_Sulfur_Compound_Metabolic_Process 105 0.49 2.85 <0.001 <0.001 Go_Nucleobase_Containing_Small_Molecule_Metabolic_Process 152 0.45 2.85 <0.001 <0.001 Go_Ribonucleoside_Diphosphate_Metabolic_Process 31 0.63 2.85 <0.001 <0.001 Go_Dicarboxylic_Acid_Metabolic_Process 27 0.68 2.84 <0.001 <0.001 Go_Monocarboxylic_Acid_Metabolic_Process 114 0.48 2.82 <0.001 <0.001 Go_Amino_Acid_Activation 23 0.71 2.82 <0.001 <0.001 Go_Glucose_Metabolic_Process 37 0.60 2.79 <0.001 <0.001 Go_Ligase_Activity_Forming_Carbon_Oxygen_Bonds 20 0.73 2.79 <0.001 <0.001 Go_Glutathione_Metabolic_Process 29 0.65 2.79 <0.001 <0.001 Go_Coenzyme_Binding 35 0.61 2.78 <0.001 <0.001 Go_Small_Molecule_Catabolic_Process 71 0.53 2.77 <0.001 <0.001 Go_Serine_Family_Amino_Acid_Metabolic_Process 17 0.75 2.75 <0.001 <0.001 Go_Tansferase_Activity_Trans- 25 0.66 2.75 <0.001 <0.001 ferring_Alkyl_Or_Aryl_Other_Than_Methyl_Groups Go_Nucleoside_Monophosphate_Metabolic_Process 69 0.52 2.74 <0.001 <0.001 Go_Nad_Binding 20 0.71 2.73 <0.001 <0.001 Go_Nad_Metabolic_Process 28 0.65 2.73 <0.001 <0.001 Go_Cellular_Carbohydrate_Metabolic_Process 49 0.55 2.73 <0.001 <0.001 Go_Purine_Containing_Compound_Metabolic_Process 102 0.47 2.68 <0.001 <0.001 Go_Glucose_Catabolic_Process 17 0.76 2.68 <0.001 <0.001 Go_Organic_Acid_Biosynthetic_Process 68 0.52 2.68 <0.001 <0.001 Go_Oxidoreductase_Activity_Act- 38 0.58 2.67 <0.001 <0.001 ing_On_The_Ch_Oh_Group_Of_Do- nors_Nad_Or_Nadp_As_Acceptor Go_Oxidoreductase_Activity_Act- 40 0.58 2.67 <0.001 <0.001 ing_On_Ch_Oh_Group_Of_Donors Go_Glutathione_Transferase_Activity 15 0.77 2.66 <0.001 <0.001 Go_Carbohydrate_Derivative_Metabolic_Process 267 0.39 2.65 <0.001 <0.001 Go_Trna_Metabolic_Process 25 0.65 2.65 <0.001 <0.001 Go_Sulfur_Compound_Biosynthetic_Process 61 0.51 2.62 <0.001 <0.001 Go_Carbohydrate_Binding 68 0.50 2.61 <0.001 <0.001 Go_Lyase_Activity 39 0.56 2.61 <0.001 <0.001 Go_Organic_Acid_Catabolic_Process 27 0.61 2.60 <0.001 <0.001 Go_Alpha_Amino_Acid_Biosynthetic_Process 25 0.63 2.60 <0.001 <0.001 Go_Nucleoside_Diphosphate_Metabolic_Process 37 0.57 2.59 <0.001 <0.001 Go_Monosaccharide_Binding 29 0.58 2.55 <0.001 0.000 Go_Single_Organism_Catabolic_Process 225 0.38 2.57 <0.001 0.000 Go_Nucleotide_Sugar_Metabolic_Process 16 0.73 2.58 <0.001 0.000 Go_Glycosyl_Compound_Metabolic_Process 104 0.43 2.51 <0.001 0.000 Go_Polysaccharide_Metabolic_Process 31 0.58 2.52 <0.001 0.000 Go_Energy_Derivation_By_Oxidation_Of_Organic_Compounds 38 0.54 2.52 <0.001 0.000 Go_Cellular_Amino_Acid_Biosynthetic_Process 27 0.61 2.53 <0.001 0.000 Go_Cellular_Amide_Metabolic_Process 248 0.38 2.54 <0.001 0.000 Go_Nucleobase_Metabolic_Process 21 0.64 2.54 <0.001 0.000 Go_Cytosolic_Part 105 0.43 2.49 <0.001 0.000 Go_Endoplasmic_Reticulum_Lumen 47 0.51 2.49 <0.001 0.000 Go_Protein_Homotetramerization 17 0.68 2.49 <0.001 0.000 Go_Cellular_Aldehyde_Metabolic_Process 33 0.55 2.48 <0.001 0.000 Go_Alpha_Amino_Acid_Catabolic_Process 77 0.62 2.46 <0.001 0.000 Go_Iron_Ion_Binding 18 0.65 2.47 <0.001 0.000 Go_Cellular_Amino_Acid_Catabolic_Process 22 0.62 2.47 <0.001 0.000 Go_Single_Organism_Biosynthetic_Process 288 0.36 2.44 <0.001 0.000 Go_Oxidoreductase_Activity_Act- 18 0.65 2.45 <0.001 0.000 ing_On_The_Aldehyde_Or_Oxo_Group_Of_Donors Go_Glutamine_Family_Amino_Acid_Metabolic_Process 20 0.63 2.46 <0.001 0.000 Go_Peptide_Metabolic_Process 203 0.36 2.38 <0.001 0.000 Go_Positive_Regulation_Of_Dna_Biosynthetic_Process 20 0.62 2.38 <0.001 0.000 Go_Transferase_Activity_Transferring_Hexosyl_Groups 39 0.52 2.36 <0.001 0.000 Go_Regulation_Of_Cellular_Amino_Acid_Metabolic_Process 35 0.52 2.35 <0.001 0.000 Go_Hydrolase_Activity_Hydrolyzing_O_Glycosyl_Compounds 26 0.56 2.34 <0.001 0.000 Go_Hydrolase_Activity_Acting_On_Glycosyl_Bonds 31 0.54 2.34 <0.001 0.001 Go_Protein_Activation_Cascade 27 0.55 2.34 <0.001 0.001 Go_Protein_Tetramerization 34 0.52 2.32 <0.001 0.001 Go_Organonitrogen_Compound_Biosynthetic_Process 309 0.34 2.32 <0.001 0.001 Go_Polysaccharide_Biosynthetic_Process 18 0.63 2.30 <0.001 0.001 Go_Organonitrogen_Compound_Catabolic_Process 90 0.40 2.29 <0.001 0.001 Go_Cellular_Carbohydrate_Biosynthetic_Process 24 0.55 2.28 <0.001 0.001 Go_Proteasome_Complex 43 0.48 2.28 <0.001 0.001 Go_Udp_Glycosyltransferase_Activity 29 0.53 2.28 <0.001 0.001 Go_Secretory_Granule_Lumen 25 0.57 2.28 <0.001 0.001 Go_Vesicle_Lumen 37 0.49 2.27 <0.001 0.001 Go_Sulfur_Amino_Acid_Metabolic_Process 17 0.63 2.26 <0.001 0.001 Go_Nucleoside_Triphosphate_Metabolic_Process 52 0.46 2.26 <0.001 0.001 Go_Maintenance_Of_Location 38 0.48 2.23 <0.001 0.001 Go_Purine_Containing_Compound_Biosynthetic_Process 40 0.47 2.23 <0.001 0.001 Go_Oxidoreductase_Activity_Acting_On_The_Alde- 15 0.64 2.22 <0.001 0.001 hyde_Or_Oxo_Group_Of_Donors_Nad_Or_Nadp_As_Acceptor Go_Cellular_Modified_Amino_Acid_Biosynthetic_Process 22 0.57 2.22 <0.001 0.001 Go_Electron_Carrier_Activity 21 0.57 2.21 <0.001 0.001 Go_Regulation_Of_Telomere_Mainte- 17 0.61 2.20 <0.001 0.001 nance_Via_Telomere_Lengthening Go_Erad_Pathway 15 0.63 2.19 <0.001 0.002 Go_Regulation_Of_Cellular_Amine_Metabolic_Process 42 0.46 2.17 <0.001 0.002 Go_Carbohydrate_Derivative_Biosynthetic_Process 154 0.34 2.17 <0.001 0.002 Go_Microtubule 88 0.38 2.16 <0.001 0.002 Go_Organophosphate_Metabolic_Process 221 0.32 2.14 <0.001 0.002 Go_Carboxylic_Ester_Hydrolase_Activity 25 0.52 2.12 <0.001 0.003 Go_Hydro_Lyase_Activity 15 0.60 2.11 <0.001 0.003 Go_Regulation_Of_Telomere_Maintenance 19 0.57 2.11 <0.001 0.003 Go_Carbon_Oxygen_Lyase_Activity 19 0.55 2.11 <0.001 0.003 Go_Glucan_Metabolic_Process 24 0.51 2.11 <0.001 0.003 Go_Posttranscriptional_Regulation_Of_Gene_Expression 143 0.34 2.09 <0.001 0.004 Go_Tansferase_Activity_Transferring_One_Carbon_Groups 19 0.55 2.09 <0.001 0.004 Go_Structural_Constituent_Of_Cytoskeleton 44 0.44 2.07 0.003 0.005 Go_Response_To_Endoplasmic_Reticulum_Stress 54 0.41 2.06 <0.001 0.005 Go_Nucleoside_Monophosphate_Biosynthetic_Process 30 0.48 2.06 0.003 0.005 Go_Regulation_Of_Cellular_Ketone_Metabolic_Process 46 0.42 2.05 0.003 0.006 Go_Antigen_Processing_And_Presentation_Of_Pep- 52 0.41 2.04 <0.001 0.006 tide_Antigen_Via_Mhc_Class_I Go_Unfolded_Protein_Binding 47 0.41 2.03 <0.001 0.006 Go_Hydrolase_Activity_Acting_On_Carbon_Nitro- 23 0.51 2.02 0.006 0.007 gen_But_Not_Peptide_Bonds Go_Nucleoside_Phosphate_Biosynthetic_Process 55 0.40 2.02 <0.001 0.007 Go_Serine_Hydrolase_Activity 50 0.40 2.01 0.003 0.007 Go_Cellular_Catabolic_Process 392 0.28 2.00 <0.001 0.008 Go_Purine_Nucleoside_Monophosphate_Biosynthetic_Process 21 0.50 1.99 0.003 0.008 Go_Monocarboxylic_Acid_Biosynthetic_Process 36 0.43 1.99 0.003 0.008 Go_Protein_Localization_To_Nucleus 35 0.44 1.99 0.003 0.008 Go_Aspartate_Family_Amino_Acid_Metabolic_Process 17 0.55 1.99 0.003 0.008 Go_T_Cell_Receptor_Signaling_Pathway 57 0.39 1.99 <0.001 0.008 Go_Amide_Biosynthetic_Process 174 0.31 1.98 <0.001 0.009 Go_Metalloexopeptidase_Activity 16 0.55 1.98 0.003 0.009 Go_Nucleotidyltransferase_Activity 15 0.55 1.98 0.005 0.009 Go_Exopeptidase_Activity 37 0.43 1.97 0.003 0.009 Go_Ligase_Activity_Forming_Carbon_Nitrogen_Bonds 17 0.52 1.94 0.014 0.011 Go_Nuclear_Export 27 0.47 1.94 <0.001 0.011 Go_Anaphase_Promoting_Complex_Dependent_Catabolic_Process 42 0.40 1.94 <0.001 0.011 Go_Positive_Regulation_Of_Canonical_Wnt_Signaling_Pathway 53 0.38 1.93 <0.001 0.012 Go_Regulation_Of_Dna_Biosynthetic_Process 26 0.45 1.92 0.006 0.013 Go_Coenzyme_Biosynthetic_Process 29 0.45 1.92 0.006 0.013 Go_Meiotic_Cell_Cycle 17 0.52 1.91 0.003 0.014 Go_Organic_Cyclic_Compound_Catabolic_Process 143 0.31 1.90 <0.001 0.015 Go_Blood_Microparticle 50 0.37 1.89 <0.001 0.016 Go_Aminopeptidase_Activity 18 0.51 1.89 0.003 0.016 Go_Antigen_Processing_And_Presentation_Of_Exoge- 39 0.42 1.89 <0.001 0.016 nous_Peptide_Antigen_Via_Mhc_Class_I Go_Platelet_Alpha_Granule_Lumen 19 0.49 1.88 0.003 0.017 Go_Innate_Immune_Response_Activating_Cell_Sur- 53 0.37 1.88 <0.001 0.017 face_Receptor_Signaling_Pathway Go_Energy_Reserve_Metabolic_Process 28 0.43 1.87 0.008 0.018 Go_Antigen_Receptor_Mediated_Signaling_Pathway 63 0.36 1.87 <0.001 0.018 Go_Cellular_Ketone_Metabolic_Process 18 0.49 1.87 0.011 0.018 Go_Transferase_Activity_Transferring_Glycosyl_Groups 55 0.38 1.87 <0.001 0.018 Go_Myelin_Sheath 99 0.32 1.86 <0.001 0.019 Go_Sarcoplasm 19 0.49 1.86 0.008 0.019 Go_Heparin_Binding 45 0.38 1.85 0.009 0.020 Go_Pyrimidme_Containing_Compound_Metabolic_Process 22 0.47 1.85 0.003 0.020 Go_Cofactor_Biosynthetic_Process 35 0.40 1.84 0.006 0.021 Go_Organic_Acid_Binding 56 0.36 1.84 <0.001 0.021 Go_Regulation_Of_Reproductive_Process 24 0.45 1.83 0.012 0.022 Go_Sulfur_Compound_Binding 63 0.35 1.83 <0.001 0.022 Go_Ribonucleoprotein_Complex_Localization 18 0.50 1.82 0.016 0.023 Go_Positive_Regulation_Of_Chromosome_Organization 30 0.42 1.82 0.003 0.023 Go_Extracellular_Matrix 126 0.30 1.83 <0.001 0.023 Go_Inclusion_Body 20 0.47 1.82 0.010 0.023 Go_Regulation_Of_Cellular_Amide_Metabolic_Process 97 0.32 1.82 <0.001 0.023 Go_Positive_Regulation_Of_Wnt_Signaling_Pathway 60 0.35 1.81 <0.001 0.024 Go_Positive_Regulation_Of_Dna_Replication 27 0.42 1.81 0.008 0.025 Go_Fc_Epsilon_Receptor_Signaling_Pathway 57 0.36 1.80 <0.001 0.027 Go_Hormone_Metabolic_Process 35 0.40 1.80 <0.001 0.027 Go_Actin_Filament_Binding 57 0.35 1.79 <0.001 0.027 Go_Cell_Redox_Homeostasis 18 0.47 1.79 0.020 0.028 Go_Nik_Nf_Kappab_Signaling 45 0.37 1.78 0.015 0.029 Go_Cellular_Lipid_Catabolic_Process 25 0.43 1.78 0.008 0.030 Go_Ncrna_Metabolic_Process 102 0.31 1.78 0.003 0.030 Go_Regulation_Of_Dna_Replication 36 0.39 1.77 0.012 0.031 Go_Isomerase_Activity 43 0.38 1.76 <0.001 0.032 Go_Sister_Chromatid_Cohesion 18 0.49 1.75 0.017 0.035 Go_Purine_Containing_Compound_Catabolic_Process 15 0.51 1.75 0.010 0.036 Go_Rna_Localization 33 0.39 1.74 0.014 0.037 Go_Extracellular_Matrix_Structural_Constituent 19 0.45 1.74 0.026 0.037 Go_Response_To_Topologically_Incorrect_Protein 43 0.37 1.74 0.015 0.037 Go_Negative_Regulation_Of_Cellular_Amide_Metabolic_Process 29 0.40 1.74 0.006 0.038 Go_Organic_Hydroxy_Compound_Metabolic_Process 102 0.29 1.73 <0.001 0.038 Go_Adenyl_Nucleotide_Binding 425 0.24 1.73 <0.001 0.040 Go_Protein_Serine_Threonine_Phosphatase_Activity 16 0.48 1.72 0.015 0.041 Go_Antigen_Processing_And_Presentation_Of_Peptide_Antigen 80 0.31 1.72 0.003 0.041 Go_Glycosyl_Compound_Biosynthetic_Process 35 0.38 1.72 0.020 0.042 Go_Mitochondrion 256 0.25 1.71 <0.001 0.044 Go_Proteoglycan_Metabolic_Process 18 0.46 1.71 0.011 0.044 Go_Supramolecular_Fiber 153 0.27 1.69 <0.001 0.048 Go_Translation_Factor_Activity_Rna_Binding 40 0.37 1.69 0.012 0.049 Es, Enrichment Score; Nes, Normalized Enrichment Score; Fdr, False Discovery Rate

TABLE 4 GSEA for Exo-S Fdr Q P Value Name Size Es Nes Value (Cutoff < 0.05) Hallmark_Apical_Surface 16 0.58 2.16 <0.001 0.005 Hallmark_Protein_Secretion 69 0.33 1.90 <0.001 0.023 Kegg_Ecm_Receptor_Interaction 47 0.52 2.73 <0.001 <0.001 Keg_Snare_Interactions_In_Vesicular_Transport 23 0.53 2.26 <0.001 0.004 Kegg_Small_Cell_Lung_Cancer 25 0.45 1.96 <0.001 0.024 Go_Intrinsic_Component_Of_Plasma_Membrane 383 0.36 2.75 <0.001 0.001 Go_Late_Endosome_Membrane 59 0.51 2.77 <0.001 0.001 Go_Endosomal_Part 214 0.36 2.58 <0.001 0.001 Go_Vacuolar_Membrane 293 0.33 2.49 <0.001 0.001 Go_Phagocytic_Vesicle_Membrane 32 0.54 2.46 <0.001 0.001 Go_Late_Endosome 106 0.40 2.50 <0.001 0.001 Go_Phagocytic_Vesicle 46 0.50 2.50 <0.001 0.001 Go_Organelle_Membrane_Fusion 39 0.50 2.46 <0.001 0.001 Go_Lytic_Vacuole_Membrane 139 0.38 2.51 <0.001 0.002 Go_Endosome 341 0.33 2.53 <0.001 0.002 Go_Extracellular_Structure_Organization 119 0.38 2.45 <0.001 0.002 Go_Secretory_Granule_Membrane 34 0.52 2.41 <0.001 0.002 Go_Single_Organism_Membrane_Fusion 44 0.46 2.39 <0.001 0.002 Go_Vacuolar_Part 332 0.31 2.39 <0.001 0.002 Go_Organelle_Fusion 46 0.45 2.37 <0.001 0.002 Go_Monovalent_Inorganic_Cation_Transport 64 0.41 2.36 <0.001 0.003 Go_Receptor_Activity 216 0.32 2.33 <0.001 0.004 Go_Phagosome_Maturation 23 0.57 2.31 <0.001 0.004 Go_Lipid_Transporter_Activity 25 0.54 2.31 <0.001 0.004 Go_Vacuolar_Transport 119 0.34 2.24 <0.001 0.007 Go_Atpase_Activity_Coupled_To_Movement_Of_Substances 49 0.43 2.25 <0.001 0.007 Go_Sterol_Homeostasis 24 0.52 2.23 <0.001 0.007 Go_Snap_Receptor_Activty 23 0.53 2.23 <0.001 0.008 Go_Regulation_Of_Membrane_Lipid_Distribution 16 0.62 2.21 <0.001 0.008 Go_Growth_Factor_Receptor_Binding 32 0.47 2.20 <0.001 0.009 Go_Phagosome_Acidification 15 0.59 2.17 <0.001 0.010 Go_Monovalent_Inorganc_Cation_Transmembrane_Transporter_Activity 53 0.40 2.17 <0.001 0.010 Go_Signaling_Receptor_Activity 160 0.32 2.18 <0.001 0.010 Go_Vacuole_Organization 71 0.39 2.18 <0.001 0.010 Go_active_Transmembrane_Transporter_Activity 93 0.35 2.14 <0.001 0.012 Go_Establishment_Of_Protein_Localization_To_Plasma_Membrane 51 0.40 2.12 0.003 0.014 Go_Sodium_Ion_Transport 30 0.45 2.10 <0.001 0.016 Go_Vacuole 491 0.25 2.08 <0.001 0.017 Go_Extracellular_Matrix_Disassembly 33 0.45 2.09 <0.001 0.017 Go_Establishment_Of_Protein_Localization_To_Vacuole 17 0.55 2.08 0.003 0.017 Go_Regulation_Of_Receptor_Mediated_Endocytosis 25 0.48 2.07 <0.001 0.018 Go_Movement_In_Environment_Of_Other_Organism_Involved_In_Symbiotic_Interaction 45 0.41 2.07 <0.001 0.018 Go_Cellular_Monovalent_Inorganic_Cation_Homeostasis 35 0.43 2.06 <0.001 0.018 Go_Protein_Localization_To_Vacuole 29 0.45 2.06 0.006 0.019 Go_Multivesicular_Body 19 0.52 2.04 0.003 0.022 Go_Monovalent_Inorganic_Cation_Homeostasis 36 0.42 2.04 <0.001 0.022 Go_Positive_Regulation_Of_Exocytosis 37 0.41 2.03 <0.001 0.023 Go_Endodermal_Cell_Differentiation 15 0.55 2.01 0.003 0.027 Go_Endocytic_Vesicle 110 0.31 2.00 <0.001 0.027 Go_Membrane_Fusion 52 0.36 1.98 0.003 0.029 Go_Gdp_Binding 37 0.40 1.99 <0.001 0.029 Go_Multivescular_Body_Organization 28 0.44 1.98 <0.001 0.030 Go_Positive_Regulation_Of_Cell_Cell_Adhesion 58 0.36 1.98 <0.001 0.030 Go_Regulation_Of_Muscle_Cell_Differentiation 33 0.43 1.97 0.006 0.031 Go_Protein_Localization_To_Cell_Periphery 66 0.35 1.97 <0.001 0.031 Go_Transmembrane_Receptor_Protein_Kinase_Activity 46 0.37 1.94 0.003 0.032 Go_Cation_Transmembrane_Transporter_Activity 104 0.31 1.95 <0.001 0.032 Go_Gastrulation 47 0.37 1.96 0.003 0.032 Go_Ph_Reduction 19 0.48 1.94 0.009 0.032 Go_Positive_Regulation_Of_Endocytosis 41 0.39 1.95 0.003 0.032 Go_Regulation_Of_Cellular_Response_To_Growth_Factor_Stimulus 72 0.33 1.94 <0.001 0.032 Go_Regulation_Of_Cellular_Ph 27 0.44 1.94 <0.001 0.032 Go_Lytic_Vacuole 231 0.27 1.95 <0.001 0.032 Go_Positive_Regulation_Of_Synaptic_Transmission 18 0.50 1.96 0.009 0.032 Go_Plasma_Membrane_Raft 43 0.38 1.96 0.007 0.032 Go_Snare_Complex 28 0.43 1.95 0.006 0.032 Go_Extracellular_Matrix_Component 49 0.37 1.93 <0.001 0.033 Go_Lytic_Vacuole_Organization 19 0.48 1.93 0.003 0.033 Go_Early_Endosome 129 0.29 1.92 <0.001 0.034 Go_Regulation_Of_Ph 28 0.43 1.91 <0.001 0.035 Go_Recycling_Endosome 57 0.35 1.91 <0.001 0.036 Go_Membrane_Protein_Complex 279 0.25 1.91 <0.001 0.036 Go_Cytokine_Receptor_Binding 45 0.36 1.89 <0.001 0.040 Go_Regulation_Of_Cellular_Response_To_Transforming_Growth_Factor_Beta_Stimulus 37 0.39 1.88 0.003 0.040 Go_Sh3_Domain_Binding 38 0.38 1.88 0.003 0.041 Go_Trivalent_Inorganic_Cation_Transport 24 0.44 1.87 0.015 0.043 Go_Regulation_Of_Toll_Like_Receptor_Signaling_Pathway 15 0.51 1.87 0.006 0.044 Go_Endosome_Organization 37 0.38 1.86 0.003 0.044 Go_Appendage_Development 30 0.41 1.86 0.009 0.044 Go_Escrt_Complex 22 0.46 1.86 0.003 0.044 Go_Virus_Receptor_Activity 34 0.40 1.85 0.006 0.046 Go_Lysosomal_Transport 25 0.42 1.85 0.006 0.048 Go_Lipid_Homeostasis 28 0.42 1.84 <0.001 0.048 Es, Enrichment Score; Nes, Normalized Enrichment Score; Fdr, False Discovery Rate

TABLE 5 GSEA for Exo-L. Fdr Q P Value Name Size Es Nes Value (Cutoff < 0.25) Hallmark_Mitotic_Spindle 72 0.40 1.87 <0.001 0.011 Hallmark_Uv_Response_Dn 55 0.41 1.83 0.002 0.014 Hallmark_112_Stat5_Signaling 64 0.41 1.89 <0.001 0.019 Hallmark_P53_Pathway 53 0.40 1.75 <0.001 0.026 Kegg_Long_Term_Depression 29 0.49 1.87 0.008 0.020 Kegg_Cell_Cycle 22 0.55 1.88 <0.001 0.022 Kegg_Regulation_Of_Actin_Cytoskeleton 110 0.37 1.94 0.001 0.023 Kegg_Endocytosis 105 0.39 2.05 <0.001 0.024 Kegg_Tight_Junction 61 0.44 1.98 <0.001 0.025 Kegg_Phosphatidylinositol_Signaling_System 18 0.57 1.88 0.002 0.025 Kegg_Melanogenesis 38 0.46 1.91 0.002 0.026 Kegg_Chemokine_Signaling_Pathway 65 0.39 1.78 0.003 0.037 Kegg_Snare_Interactions_In_Vesicular_Transport 23 0.50 1.74 0.006 0.048 Go_Multivesicular_Body_Organization 28 0.69 2.63 <0.001 <0.001 Go_Endosome_Organization 37 0.63 2.55 <0.001 <0.001 Go_Cell_Separation_After_Cytokinesis 16 0.77 2.51 <0.001 0.000 Go_Small_Gtpase_Mediated_Signal_Transduction 145 0.44 2.41 <0.001 0.000 Go_Multi_Organism_Organelle_Organization 21 0.70 2.41 <0.001 0.000 Go_Endomembrane_System_Organization 178 0.42 2.31 <0.001 0.000 Go_Ras_Protein_Signal_Transduction 64 0.50 2.29 <0.001 0.000 Go_Multi_Organism_Membrane_Organization 23 0.66 2.31 <0.001 0.001 Go_Metaphase_Plate_Congression 19 0.70 2.30 <0.001 0.001 Go_Escrt_Complex 22 0.69 2.45 <0.001 0.001 Go_Cytokinesis 36 0.58 2.33 <0.001 0.001 Go_Cytoplasmic_Side_Of_Membrane 70 0.48 2.26 <0.001 0.001 Go_Virion_Assembly 31 0.59 2.24 <0.001 0.001 Go_Intercalated_Disc 26 0.60 2.24 <0.001 0.001 Go_Mitotic_Sister_Chromatid_Segregation 28 0.59 2.22 <0.001 0.001 Go_Mitotic_Cytokinesis 20 0.65 2.21 <0.001 0.002 Go_Regulation_Of_Exosomal_Secretion 15 0.70 2.20 <0.001 0.002 Go_Signal_Release 39 0.54 2.20 <0.001 0.002 Go_Chromosome_Localization 21 0.62 2.17 <0.001 0.003 Go_Nucleus_Organization 37 0.53 2.17 <0.001 0.003 Go_Midbody 64 0.47 2.17 <0.001 0.003 Go_Neurotransmitter_Transport 37 0.53 2.15 <0.001 0.003 Go_Autophagy 115 0.41 2.15 <0.001 0.003 Go_Presynaptic_Process_Involved_In_Synaptic_Transmission 31 0.56 2.14 <0.001 0.003 Go_Macromolecular_Complex_Disassembly 36 0.54 2.14 <0.001 0.003 Go_Synaptic_Signaling 78 0.44 2.13 <0.001 0.003 Go_Protein_Domain_Specific_Binding 189 0.37 2.13 <0.001 0.003 Go_Cell_Cell_Contact_Zone 35 0.52 2.12 <0.001 0.004 Go_Extrinsic_Component_Of_Cytoplasmic_Side_Of_Plasma_Membrane 40 0.51 2.12 0.002 0.004 Go_Regulation_Of_I_Kappab_Kinase_Nf_Kappab_Signaling 62 0.46 2.11 <0.001 0.004 Go_Regulation_Of_Exocytosis 69 0.45 2.11 <0.001 0.004 Go_Cell_Division 123 0.40 2.10 <0.001 0.004 Go_Regulation_Of_Cytokinesis 19 0.62 2.09 <0.001 0.005 Go_Regulation_Of_Centrosome_Cycle 17 0.64 2.08 <0.001 0.005 Go_Basolateral_Plasma_Membrane 84 0.42 2.07 <0.001 0.006 Go_Apical_Junction_Complex 42 0.50 2.07 <0.001 0.006 Go_Cytoskeleton_Dependent_Cytokinesis 23 0.58 2.06 <0.001 0.006 Go_Regulation_Of_Cell_Division 62 0.44 2.04 <0.001 0.007 Go_Heterotrimeric_G_Protein_Complex 17 0.63 2.04 0.002 0.007 Go_Cell_Cell_Signaling 126 0.39 2.03 <0.001 0.008 Go_Calcium_Dependent_Phospholipid_Binding 19 0.60 2.02 0.002 0.009 Go_Regulation_Of_Centrosome_Duplication 15 0.65 2.00 <0.001 0.010 Go_Plasma_Membrane_Organization 95 0.40 2.00 <0.001 0.010 Go_Extrinsic_Component_Of_Plasma_Membrane 61 0.44 2.00 <0.001 0.011 Go_Positive_Regulation_Of_Viral_Process 29 0.52 1.98 0.002 0.013 Go_G_Protein_Coupled_Receptor_Signaling_Pathway_Cou- 21 0.58 1.98 <0.001 0.013 pled_To_Cyclic_Nucleotide_Second_Messenger Go_Positive_Regulation_Of_Cell_Division 29 0.52 1.98 <0.001 0.013 Go_Regulation_Of_Ras_Protein_Signal_Transduction 52 0.45 1.97 <0.001 0.014 Go_Nucleoside_Triphosphatase_Regulator_Activity 82 0.40 1.97 0.002 0.014 Go_Positive_Regulation_Of_I_Kappab_Kinase_Nf_Kappab_Signaling 50 0.45 1.96 <0.001 0.015 Go_Amino_Acid_Transport 31 0.52 1.94 0.002 0.017 Go_Cell_Division_Site 24 0.55 1.95 <0.001 0.017 Go_Pdz_Domain_Binding 32 0.50 1.95 <0.001 0.018 Go_Cytoskeletal_Protein_Binding 272 0.33 1.94 <0.001 0.018 Go_Membrane_Budding 65 0.42 1.94 <0.001 0.018 Go_Filopodium 52 0.44 1.92 0.002 0.019 Go_Extrinsic_Component_Of_Membrane 95 0.39 1.92 <0.001 0.020 Go_Regulation_Of_Small_Gtpase_Mediated_Signal_Transduction 80 0.40 1.93 <0.001 0.020 Go_Organelle_Assembly 123 0.36 1.92 <0.001 0.020 Go_Late_Endosome_Membrane 59 0.42 1.93 0.002 0.020 Go_Positive_Regulation_Of_Cell_Cycle_Process 56 0.43 1.92 <0.001 0.021 Go_Sister_Chromatid_Segregation 40 0.46 1.91 0.002 0.021 Go_Rho_Guanyl_Nueleotide_Exchange_Factor_Activity 55 0.61 1.91 <0.001 0.021 Go_Intracellular_Signal_Transduction 426 0.31 1.90 <0.001 0.023 Go_G_Protein_Coupled_Receptor_Signaling_Pathway 100 0.37 1.90 <0.001 0.023 Go_Cell_Projection_Assembly 67 0.41 1.90 <0.001 0.023 Go_Side_Of_Membrane 148 0.35 1.89 <0.001 0.025 Go_Organelle_Localization 139 0.35 1.88 <0.001 0.025 Go_Leukocyte_Migration 79 0.40 1.89 <0.001 0.025 Go_Positive_Regulation_Of_Hydrolase_Activity 207 0.33 1.88 <0.001 0.025 Go_Postsynapse 89 0.38 1.88 0.002 0.025 Go_Synapse_Part 149 0.35 1.88 <0.001 0.025 Go_Plasma_Membrane_Protein_Complex 140 0.35 1.89 <0.001 0.025 Go_Adenylate_Cyclase_Modulating_G_Protein_Coupled_Receptor_Signaling_Pathway 20 0.57 1.88 <0.001 0.025 Go_Synapse 194 0.33 1.87 <0.001 0.027 Go_Regulation_Of_Nuclear_Division 37 0.46 1.87 <0.001 0.027 Go_Positive_Regulation_Of_Peptidyl_Serine_Phosphorylation 18 0.56 1.87 0.003 0.027 Go_Atpase_Activity_Coupled_To_Transmembrane_Movement_Of_Ions_Phosphory- 18 0.57 1.86 0.002 0.028 lative_Mechanism Go_Regulation_Of_Gtpase_Activity 153 0.34 1.86 <0.001 0.028 Go_Metal_Ion_Transmembrane_Transporter_Activity 67 0.40 1.86 0.002 0.029 Go_Establishment_Of_Cell_Polarity 31 0.48 1.85 0.002 0.030 Go_Heat_Shock_Protein_Binding 30 0.49 1.85 0.002 0.031 Go_Protein_Localization_To_Cell_Periphery 66 0.40 1.84 0.002 0.031 Go_Ruffle 85 0.37 1.84 <0.001 0.031 Go_Snare_Complex 28 0.49 1.84 0.002 0.031 Go_Negative_Regulation_Of_Cellular_Protein_Localization 39 0.45 1.84 0.006 0.033 Go_Neuron_Spine 37 0.45 1.83 0.002 0.033 Go_Regulation_Of_Protein_Complex_Disassembly 70 0.38 1.83 <0.001 0.033 Go_Cytoskeleton_Organization 262 0.31 1.83 <0.001 0.033 Go_Snare_Binding 47 0.42 1.83 <0.001 0.033 Go_Anchoring_Junction 328 0.30 1.83 <0.001 0.033 Go_Sodium_Ion_Transmembrane_Transporter_Activity 29 0.48 1.82 0.003 0.035 Go_Synaptic_Vesicle_Cycle 24 0.51 1.82 <0.001 0.035 Go_Cell_Junction 470 0.29 1.82 <0.001 0.035 Go_Vesicle_Organization 130 0.34 1.82 <0.001 0.035 Go_Vacuole_Organization 71 0.39 1.82 0.002 0.036 Go_Enzyme_Activator_Activity 112 0.35 1.81 0.001 0.037 Go_Regulation_Of_Organelle_Assembly 44 0.43 1.81 <0.001 0.038 Go_Membrane_Region 384 0.29 1.80 <0.001 0.040 Go_Negative_Regulation_Of_Dephosphorylation 15 0.57 1.80 0.005 0.040 Go_Trans_Golgi_Network_Transport_Vesicle 17 0.56 1.80 0.005 0.041 Go_Calcium_Dependent_Protein_Binding 30 0.46 1.79 0.002 0.042 Go_Regulation_Of_Rho_Protein_Signal_Transduction 31 0.46 1.79 0.002 0.042 Go_Cell_Leading_Edge 180 0.32 1.79 <0.001 0.042 Go_Myeloid_Cell_Homeostasis 23 0.50 1.78 0.005 0.048 Go_Regulation_Of_Tumor_Necrosis_Factor_Mediated_Signaling_Pathway 16 0.55 1.78 0.008 0.048 Es, Enrichment Score; Nes, Normalized Enrichment Score; Fdr, False Discovery Rate Lipid classes identified in exomeres and exosome subsets derived from different cell lines (raw data and normalized data) are shown in Tables 6-8. The values in the tale are relative signal response (signal's peak area count is normalized to sample weight and peak area count of the internal standard signal)

TABLE 6 B16-F10 Exomere B16-F10 Exo-S B16-F10 Exo-L Exomere Exomere Exomere Exo-S Exo-S Exo-S Exo-L Exo-L Exo-L Lipid Fatty Acid replicate replicate replicate replicate replicate replicate replicate replicate replicate Lipid Ion Lipid Group Class Chain 1 2 3 1 2 3 1 2 3 AcCa(14:0)+H AcCa(14:0)+H AcCa (14:0) 126403 74344 58450 450142 480444 253736 817233 627321 575713 AcCa(16:0)+H AcCa(16:0)+H AcCa (16:0) 371349 132864 127435 848312 949956 635288 1613560 1298747 1254263 AcCa(18:0)+H AcCa(18:0)+H AcCa (18:0) 271015 122806 111390 815152 1342063 663069 1274337 1373484 1164727 AcCa(18:1)+H AcCa(18:1)+H AcCa (18:1) 177867 148820 162353 488628 684148 419700 727711 1055935 632886 Cer(d18:1/10:0)+H Cer(d28:1)+H Cer (d18:1/10:0) 3285931 2456489 3071965 2826972 2522661 2574269 3282319 2529012 2859390 Cer(d17:1/12:0)+H Cer(d29:1)+H Cer (d17:1/12:0) 2136705 1658319 9710 2183085 2150140 16991 2086917 1905596 8847 Cer(d18:0/12:0)+H Cer(d30:0)+H Cer (d18:0/12:0) 4662128 4717794 258831 5173465 4949391 308432 5318447 4537723 487676 Cer(d18:1/13:0)+H Cer(d31:1)+H Cer (d18:1/13:0) 2061473 2314284 1781159 2389813 2394060 18082 2511543 1995862 12407 Cer(d18:1/14:0)+H Cer(d32:1)+H Cer (d18:1/14:0) 16487509 17733378 11996128 27269296 20032631 24321417 24060587 19624829 17533611 Cer(d17:1/16:0)+H Cer(d33:1)+H Cer (d17:1/16:0) 244972 145280 0 738922 511889 9284 404845 219652 11209 Cer(d18:1/16:0)+H Cer(d34:1)+H Cer (d18:1/16:0) 1931662 2910272 592159 9687638 4994022 3596046 4689271 3395960 54370 Cer(d18:2/16:0)+H Cer(d34:2)+H Cer (d18:2/16:0) 977946 515813 17723 5339763 3254669 219675 4266995 2334043 100282 Cer(d18:1/18:0)+H Cer(d36:1)+H Cer (d18:1/18:0) 10496 8067 75944 181246 13750 344641 0 0 88007 Cer(d18:2/18:0)+H Cer(d36:2)+H Cer (d18:2/18:0) 482498 373915 0 1612597 973300 43568 969446 468632 0 Cer(d18:2/22:0)+H Cer(d40:2)+H Cer (d18:2/22:0) 103724 240980 0 236699 101293 11125 133378 55772 0 Cer(d18:1/24:1)+H Cer(d42:2)+H Cer (d18:1/24:1) 89835 285185 75499 512209 187476 443205 262724 210714 112551 Cer(d18:2/24:0)+H Cer(d42:2)+H Cer (d18:2/24:0) 21377 93184 7980 74370 140785 223620 50536 140395 215214 Cer(d18:2/24:1)+H Cer(d42:3)+H Cer (d18:2/24:1) 586547 1726557 69366 1299561 635994 928491 700013 847586 439139 CerG1(d18:1/16:0)+H CerG1(d34:1)+H CerG1 (d18:1/16:0) 2132797 3004216 265833 6754715 5248635 651347 6085606 7925052 471225 CerG1(d18:2/16:0)+H CerG1(d34:2)+H CerG1 (d18:2/16:0) 68290 60670 0 322732 399905 7897 486115 632481 13728 CerG1(d42:2)+H CerG1(d42:2)+H CerG1 (d42:2) 10524 102212 32440 53143 11325 16572 14912 48875 0 CerG1(d42:3)+H CerG1(d42:3)+H CerG1 (d42:3) 131300 207192 0 207152 84636 8467 183967 151961 0 CerG2(d42:2)+H CerG2(d42:2)+H CerG2 (d42:2) 57300 162235 116293 35705 61052 46664 63418 54882 10286 CerG3(d34:1)+H CerG3(d34:1)+H CerG3 (d34:1) 0 0 0 0 0 0 0 0 0 CL(14:0/14:0/14:0/14:0)−H CL(56:0)−H CL (14:0/14:0/14:0/14:0) 130991 219438 306512 167571 239006 404403 118811 273244 327125 CL(18:2/14:0/14:0/14:0)−H CL(60:2)−H CL (18:2/14:0/14:0/14:0) 2672710 2676445 2708643 1805136 2788450 2750814 2682683 1866518 3229918 CL(63:3)−H CL(63:3)−H CL (63:3) 17718077 24443433 32685664 19052791 38979323 32187596 19983783 21116809 25096959 cPA(18:0)−H cPA(18:0)−H cPA (18:0) 0 0 0 55012 68477 69059 61342 117027 47556 DG(9:0/9:0)+NH4 DG(18:0)+NH4 DG (9:0/9:0) 947852 155466 0 387446 240845 9824 322159 429779 13833 DG(10:0/10:0)+NH4 DG(20:0)+NH4 DG (10:0/10:0) 306478 40445 0 145346 58658 0 186129 106451 0 DG(16:0/14:0)+NH4 DG(30:0)+NH4 DG (16:0/14:0) 23130 492892 0 204445 204748 3103 130175 449852 0 DG(16:0/16:0)+NH4 DG(32:0)+NH4 DG (16:0/16:0) 312394 3034249 65213 1134564 992674 2401 639777 1625717 273211 DG(18:0/16:0)+NH4 DG(34:0)+NH4 DG (18:0/16:0) 414414 1717524 81035 898847 870506 16324 625271 1282433 33465 DG(16:0/18:1)+NH4 DG(34:1)+NH4 DG (16:0/18:1) 249570 5066477 56636 952503 1496482 194460 703700 3431420 216575 DG(16:0/18:2)+NH4 DG(34:2)+NH4 DG (16:0/18:2) 155579 3053493 52764 455631 705511 205165 573647 1999847 99975 DG(16:1/18:1)+NH4 DG(34:2)+NH4 DG (16:1/18:1) 52935 821634 607008 606602 1224260 966471 510087 2108477 747255 DG(18:0/18:0)+NH4 DG(36:0)+NH4 DG (18:0/18:0) 420808 483464 44835 493869 434736 26845 456878 602752 38767 DG(18:0/18:1)+NH4 DG(36:1)+NH4 DG (18:0/18:1) 128946 994984 36401 358221 522720 169726 311026 1296730 97520 DG(18:1/18:1)+NH4 DG(36:2)+NH4 DG (18:1/18:1) 371258 7033571 211640 2544291 4636620 954483 3523810 10142038 1024211 DG(18:0/20:4)+NH4 DG(38:4)+NH4 DG (18:0/20:4) 51341 592569 0 3687436 8075822 379742 2484564 19634348 336286 LPA(16:0)−H LPA(16:0)−H LPA (16:0) 22497 11628 5227 339398 380104 125253 473472 590477 218149 LPA(18:0)−H LPA(18:0)−H LPA (18:0) 6067 15389 0 565585 664690 308216 751856 867404 354941 LPC(12:0)+H LPC(12:0)+H LPC (12:0) 24826009 20995058 22215516 21792204 25883459 17184909 22080168 22679379 19563762 LPC(14:0)+H LPC(14:0)+H LPC (14:0) 569880 382042 516804 2624194 2882195 2196724 4225292 3498731 2526682 LPC(15:0)+H LPC(15:0)+H LPC (15:0) 197761 98604 105982 1131940 1442497 728764 1721614 1366126 979909 LPC(16:0)+H LPC(16:0)+H LPC (16:0) 15828556 960967 8112646 87241945 118375088 64524003 131528490 14660735 86067477 LPC(16:0e)+H LPC(16:0e)+H LPC (16:0e) 744785 349930 426467 5245638 7599868 4354204 7220750 7627865 5423455 LPC(16:0p)+H LPC(16:0p)+H LPC (16:0p) 353470 95568 171801 2491768 2689720 1637153 2900592 2414546 2045586 LPC(16:1)+H LPC(16:1)+H LPC (16:1) 280901 236419 341572 3367394 4859169 2381778 4343171 1967391 213444 LPC(17:0)+H LPC(17:0)+H LPC (17:0) 647030 283200 306780 3784759 4389526 3249965 4225274 3911969 3897263 LPC(17:1)+H LPC(17:1)+H LPC (17:1) 183377 168289 235204 641128 575440 249858 480601 379388 279067 LPC(18:0)+H LPC(18:0)+H LPC (18:0) 1467413 856904 7242653 14028247 15991647 76847887 15435268 14024927 91960591 LPC(18:0e)+H LPC(18:0e)+H LPC (18:0e) 357153 198069 193513 3017626 4339017 2074027 3502395 3365314 2386033 LPC(18:0p)+H LPC(18:0p)+H LPC (18:0p) 240653 111201 168571 2529943 3891950 2081436 3033057 3016781 2337886 LPC(18:1)+H LPC(18:1)+H LPC (18:1) 860980 408803 2199425 3995280 4396377 15853525 5050416 4586403 19619579 LPC(18:1p)+H LPC(18:1p)+H LPC (18:1p) 30139 11829 0 379412 428169 38755 442946 310262 56709 LPC(18:3)+H LPC(18:3)+H LPC (18:3) 612289 319665 593584 4110256 5583184 4216789 6334338 6122347 6072820 LPC(19:0)+H LPC(19:0)+H LPC (19:0) 200029 108013 9599 2275904 2890343 1519032 2665408 2793374 1626281 LPC(19:1)+H LPC(19:1)+H LPC (19:1) 88384 39189 13736 416823 715551 431350 1208577 584080 344782 LPC(20:0)+H LPC(20:0)+H LPC (20:0) 607197 396865 403428 5726753 7985971 4099321 6209335 7234817 5152981 LPC(20:0e)+H LPC(20:0e)+H LPC (20:0e) 634835 261588 9643 4931406 4772196 4124047 5174992 4586907 4079437 LPC(20:1)+H LPC(20:1)+H LPC (20:1) 387845 189452 238530 3051230 3817347 2514088 3507684 3502342 3087582 LPC(20:2)+H LPC(20:2)+H LPC (20:2) 36252 19249 15234 898457 912537 484067 1091403 789470 505463 LPC(20:3)+H LPC(20:3)+H LPC (20:3) 491004 374138 408366 4823463 7201017 5170072 5206771 7586043 6895817 LPC(20:4)+H LPC(20:4)+H LPC (20:4) 336922 135435 115338 1472907 1239627 607968 1194764 774417 499731 LPC(22:0)+H LPC(22:0)+H LPC (22:0) 297854 293971 119072 2195548 3766079 97011 1560850 2891930 964677 LPC(22:3)+H LPC(22:3)+H LPC (22:3) 0 0 0 108584 158539 0 259681 302983 225370 LPC(22:4)+H LPC(22:4)+H LPC (22:4) 130051 71536 70972 757447 902950 355253 670269 564642 346774 LPC(22:5)+H LPC(22:5)+H LPC (22:5) 289181 147999 101529 1393529 1193595 542897 1095475 852414 590041 LPC(22:6)+H LPC(22:6)+H LPC (22:6) 282143 118195 109571 1509678 1099101 490193 1051577 654953 475235 LPC(24:0)+H LPC(24:0)+H LPC (24:0) 269284 469608 98479 2031193 3748373 810926 1846605 2876090 683853 LPC(24:1)+H LPC(24:1)+H LPC (24:1) 172249 195506 32267 1375894 3447011 49999 1521861 3181981 506378 LPC(26:1)+H LPC(26:1)+H LPC (26:1) 180284 203029 267546 934476 1965024 869741 1107557 1536510 879935 LPC(28:0)+H LPC(28:0)+H LPC (28:0) 281142 271278 152632 616403 519593 165653 1217321 725813 196125 LPE(16:0p)−H LPE(16:0p)−H LPE (16:0p) 112766 50167 73845 1005794 858598 946677 1406618 1160918 1004722 LPE(18:0)−H LPE(18:0)−H LPE (18:0) 3921 1952 1640 118233 107913 99044 161225 165661 97721 LPE(20:1)−H LPE(20:1)−H LPE (20:1) 14764 2049 3055 167698 122170 114049 231657 194669 150107 LPE(20:4)−H LPE(20:4)−H LPE (20:4) 65288 12725 20948 468527 289518 235996 373155 284721 250355 LPG(14:0)−H LPG(14:0)−H LPG (14:0) 548800 382595 407893 795783 463367 358026 604048 492052 342052 LPG(16:0)−H LPG(16:0)−H LPG (16:0) 22384 1817 3695 95584 97453 88169 150234 144409 94669 LPG(18:0)−H LPG(18:0)−H LPG (18:0) 7108 5883 2154 145050 199730 118565 180290 279239 125173 LPI(16:0)−H LPI(16:0)−H LPI (16:0) 13139 8286 12324 160039 189966 142107 243454 316147 195268 LPI(18:0)−H LPI(18:0)−H LPI (18:0) 129537 106151 124225 867843 1230904 952013 1366778 1930014 1195908 LPI(18:1)−H LPI(18:1)−H LPI (18:1) 72701 47431 61357 460751 514012 440566 566097 674850 626513 MG(14:0)+H MG(14:0)+H MG (14:0) 375837 88177 35665 448878 402458 5718 372448 550789 6515 MG(16:0)+H MG(16:0)+H MG (16:0) 50604436 13533642 239524 33457708 25341368 552953 44808270 44882937 1700412 MG(18:0)+H MG(18:0)+H MG (18:0) 73255584 24991877 36894 49725813 29224771 121072 61152875 53425253 1679694 MG(18:1)+H MG(18:1)+H MG (18:1) 544195 230230 28730 394439 311141 83987 583537 594474 89301 MG(18:2)+H MG(18:2)+H MG (18:2) 4536076 1085419 10175 3024785 1303318 27108 3187788 2514511 117708 MG(20:0)+H MG(20:0)+H MG (20:0) 603839 158129 0 278723 212540 0 352665 369659 0 PA(16:0/18:1)−H PA(34:1)−H PA (16:0/18:1) 353279 1205140 767645 1083038 3038689 3051987 180867 3819385 3323318 PA(18:0/18:1)−H PA(36:1)−H PA (18:0/18:1) 240583 545416 440200 917938 1190688 1413768 826834 1819319 1686643 PA(18:1/18:1)−H PA(36:2)−H PA (18:1/18:1) 1146268 1346006 847163 870462 3412350 878946 3287797 1861009 1386024 PA(18:0/20:3)−H PA(38:3)−H PA (18:0/20:3) 45040 305269 144750 32540 730895 353903 438562 1004844 522715 PA(18:0/20:4)−H PA(38:4)−H PA (18:0/20:4) 1991604 1909483 752042 5211107 6353043 5173947 5216243 8408667 5567100 PC(16:1)+H PC(16:1)+H PC (16:1) 711019 434839 562537 1292297 861033 891424 1090124 926343 1162390 PC(19:1)+H PC(19:1)+H PC (19:1) 1103262 630501 684980 2531329 1712233 1404432 1883603 1278262 1261451 PC(19:3)+H PC(19:3)+H PC (19:3) 140482 77031 94151 852857 1017233 660854 1057654 995593 611132 PC(22:0)+H PC(22:0)+H PC (22:0) 1548077 1231441 1142048 1521914 1408181 1495404 1505859 1549520 1333985 PC(23:0)+H PC(23:0)+H PC (23:0) 4548177 5231098 5636416 5055545 5205865 6244353 4873030 4752521 4671780 PC(14:0e/10:1)+H PC(24:1e)+H PC (14:0e/10:1) 72125 212115 34016 1441291 2716842 105506 1380547 2972553 92509 PC(25:0)+H PC(25:0)+H PC (25:0) 4682423 4220728 5093812 5029168 4921421 5523937 5163837 4899195 5012193 PC(26:0)+H PC(26:0)+H PC (26:0) 9653915 10088128 9496506 12563166 12315442 11517050 12538366 12117458 10426953 PC(28:0)+H PC(28:0)+H PC (28:0) 16142640 11250710 16890226 94512141 106893440 22203878 132708155 121460509 125699546 PC(28:1)+H PC(28:1)+H PC (28:1) 949819 273215 600528 3358965 7404361 4706427 5146089 3037283 3884449 PC(29:0)+H PC(29:0)+H PC (29:0) 3037216 2192472 3374639 16274102 12464795 21180937 23520211 17179205 23219766 PC(29:0e)+H PC(29:0e)+H PC (29:0e) 500495 620882 20456 6004551 2453423 8616426 6489613 5032334 5676874 PC(11:0/18:1)+H PC(29:1)+H PC (11:0/18:1) 709162 825698 1232231 2810267 3051219 8703188 3405470 2395242 8338689 PC(29:1)+H PC(29:1)+H PC (29:1) 324087 372942 141198 1381426 1260238 952507 2420045 2388402 709915 PC(29:2)+H PC(29:2)+H PC (29:2) 213308 195757 145685 1034052 1185309 619448 2054678 1895639 885229 PC(30:0)+H PC(30:0)+H PC (16:0/14:0) 56691753 74998071 26091350 683027646 682017930 1255178435 881535926 616691128 193155930 PC(30:0e)+H PC(30:0e)+H PC (30:0e) 4056224 7328194 6465647 28560737 27282829 63835289 25395469 27671702 32831475 PC(14:0p/16:0)+H PC(30:0p)+H PC (14:0p/16:0) 629949 1061563 313243 5377894 5372113 2369887 4458921 4577410 1452818 PC(30:1)+H PC(30:1)+H PC (16:1/14:0) 17130717 14079326 2801921 102492171 127551929 24616112 137777254 135604383 20610998 PC(30:1e)+H PC(30:1e)+H PC (30:1e) 127004 106123 28357 532623 2368063 2282784 2994764 997185 2495350 PC(30:2)+H PC(30:2)+H PC (30:2) 117858 51494 196119 1201953 2059520 1026838 1179636 1741418 884183 PC(30:3)+H PC(30:3)+H PC (30:3) 478052 475953 130266 4145335 5388556 3875521 4350801 5055605 1524862 PC(31:0)+H PC(31:0)+H PC (31:0) 5049251 6718203 7639633 42945618 31875039 65082122 47136067 37808345 49514068 PC(31:0e)+H PC(31:0e)+H PC (31:0e) 304982 294402 1022945 446518 1492814 8392308 1738976 1983714 2628902 PC(31:0p)+H PC(31:0p)+H PC (31:0p) 513233 308136 284850 5057611 4515500 6587243 5809117 4369020 5014597 PC(31:1)+H PC(31:1)+H PC (31:1) 5485783 2847101 5842640 42743922 23288029 67963014 70199810 60046556 64138703 PC(31:2)+H PC(31:2)+H PC (31:2) 5945625 3622633 1209331 24297871 19202789 9524323 40465789 29104789 10177023 PC(31:3)+H PC(31:3)+H PC (31:3) 437194 451232 199097 1920300 2302406 1975122 1628067 1532974 1632507 PC(32:0)+H PC(32:0)+H PC (16:0/16:0) 20914846 51875855 56025652 272222966 231440946 606142584 236810344 283458124 365355799 PC(32:0e)+H PC(32:0e)+H PC (32:0e) 1678417 5491350 6736720 18836697 16249536 50019063 11061880 16511316 17616549 PC(32:1)+H PC(32:1)+H PC (16:0/16:1) 381297293 292555198 257928169 2854649412 2788422049 3838279002 3906107098 3661791470 3307385068 PC(32:1e)+H PC(32:1e)+H PC (16:0e/16:1) 29860775 32204686 25604326 179356767 190641317 283723830 173372115 179521106 182837168 PC(14:0p/18:1)+H PC(32:1p)+H PC (14:0p/18:1) 4384602 4502370 3698127 32728425 32189364 43232252 22998160 15556946 23904388 PC(16:1/16:1)+H PC(32:2)+H PC (16:1/16:1) 4364874 2633675 5055540 24904167 31306125 45184481 33133633 39017602 41647218 PC(18:1/14:1)+H PC(32:2)+H PC (18:1/14:1) 4433024 1566012 1162020 14242256 12004576 5683688 19537697 10150760 4489765 PC(21:1/11:1)+H PC(32:2)+H PC (21:1/11:1) 3317305 2457734 1751989 21068787 24306239 13490753 25989753 28806059 11913899 PC(32:2)+H PC(32:2)+H PC (32:2) 853461 541674 133672 3198542 2183848 842944 4588838 2710601 1006746 PC(32:3)+H PC(32:3)+H PC (32:3) 3880729 4838259 2174541 45142873 51367960 24333865 54761013 61607918 77516103 PC(33:0)+H PC(33:0)+H PC (33:0) 2491221 4292191 2094083 9890003 8931707 21094550 17597727 11350499 11113297 PC(33:0e)+H PC(33:0e)+H PC (33:0e) 179591 323333 127786 939808 767556 1925575 692899 578714 910127 PC(33:0p)+H PC(33:0p)+H PC (33:0p) 5514046 5886622 3348197 29905909 26959389 46907116 25793887 20775585 24327880 PC(17:1/16:0)+H PC(33:1)+H PC (17:1/16:0) 42531094 31192660 27351928 183770305 134000588 266593855 205479288 170692737 57118640 PC(33:1)+H PC(33:1)+H PC (33:1) 2555311 1544070 330171 7479162 4246649 2664600 10271628 6775857 2096224 PC(33:2)+H PC(33:2)+H PC (33:2) 24133640 13315080 8893252 58426262 32978893 3957620 94144054 51180448 63916967 PC(33:3)+H PC(33:3)+H PC (33:3) 2890157 1836002 2189731 14117303 10932598 21356198 18716142 14843963 19206746 PC(33:5)+H PC(33:5)+H PC (33:5) 166778 103006 0 885005 888997 130504 1375772 1181957 88887 PC(34:0)+H PC(34:0)+H PC (18:0/16:0) 236340 1799346 2419061 6617209 5443136 19151215 2961868 6195521 7251254 PC(34:0e)+H PC(34:0e)+H PC (34:0e) 32434 340654 688738 1323097 1158873 3721258 735292 1313962 1078602 PC(34:1)+H PC(34:1)+H PC (16:0/18:1) 702164261 683856165 459756300 4090124888 3266409301 5915612417 5156552228 4423740802 4814401416 PC(16:1/18:1)+H PC(34:2)+H PC (16:1/18:1) 95398188 53096879 102332012 1259473250 1426517920 1530374649 1586240129 1288377681 1251331204 PC(34:2e)+H PC(34:2e)+H PC (34:2e) 13437906 12654633 10113848 86846844 92800877 131845330 78230081 78466379 78768625 PC(16:1p/18:1)+H PC(34:2p)+H PC (16:1p/18:1) 2886633 2301135 2578631 18247260 15908218 21615372 12458478 10544133 12531595 PC(12:0/22:3)+H PC(34:3)+H PC (12:0/22:3) 2468111 1650994 1285424 17210347 16231266 18500053 20808370 18756574 16911357 PC(16:1/18:2)+H PC(34:3)+H PC (16:1/18:2) 3827115 2184772 2443733 24237687 21051078 23434834 26957441 23196963 19148407 PC(34:3)+H PC(34:3)+H PC (34:3) 1229610 2883678 4153532 13447228 14653650 44646699 12392809 16525324 3647163 PC(34:3p)+H PC(34:3p)+H PC (34:3p) 309194 1462040 999891 8502590 9797227 18800853 7779018 10339160 11746995 PC(34:4)+H PC(34:4)+H PC (34:4) 20475903 16110930 17293334 178336632 207525148 346713684 66644722 129599970 355127450 PC(34:4p)+H PC(34:4p)+H PC (34:4p) 113809 73055 14857 1300014 976116 165784 1122693 710962 25528 PC(35:0)+H PC(35:0)+H PC (35:0) 16436 82270 0 504377 182394 594817 575443 395473 307532 PC(35:0p)+H PC(35:0p)+H PC (35:0p) 1632829 1320223 587682 3109538 4330640 5998432 4098800 3798103 3825167 PC(19:1/16:0)+H PC(35:1)+H PC (19:1/16:0) 10484048 9928273 10530183 41897018 27918903 104647960 46798441 33327744 72186646 PC(17:0/18:1)+H PC(35:1)+H PC (17:0/18:1) 5988186 3990995 6267876 28487945 16672598 65506113 34058556 19802587 25971953 PC(35:1p)+H PC(35:1p)+H PC (35:1p) 1406045 1075172 780889 6214976 5934505 8837847 5501205 5518786 4576235 PC(19:1/16:1)+H PC(35:2)+H PC (19:1/16:1) 6284334 3958153 1938327 38909168 31351637 14302206 40489367 32418462 23110869 PC(24:1/11:1)+H PC(35:2)+H PC (24:1/11:1) 11336192 5493494 3466525 60657254 43008092 45664196 56058697 39110045 37049797 PC(35:2)+H PC(35:2)+H PC (35:2) 270421 275264 399753 434132 342684 1731724 513537 324179 1291443 PC(35:2p)+H PC(35:2p)+H PC (35:2p) 576576 405357 85747 2841268 4165956 6393422 2198415 3444787 394399 PC(35:3)+H PC(35:3)+H PC (35:3) 890824 501653 134820 7341169 5110940 3697459 6873364 3882500 2474602 PC(35:4)+H PC(35:4)+H PC (35:4) 4495931 3539087 1677683 14508832 9745045 13337298 19081414 13281655 11465781 PC(35:5)+H PC(35:5)+H PC (35:5) 6177999 3293915 714103 32574085 24526286 2758482 44623939 32556959 3676579 PC(35:6)+H PC(35:6)+H PC (35:6) 1730356 1078550 986403 12240209 8969559 8085536 25142649 13256355 6341940 PC(36:1)+H PC(36:1)+H PC (18:0/18:1) 57594289 89875958 35364313 223467745 155762078 372979351 214701069 199982778 234112087 PC(36:1e)+H PC(36:1e)+H PC (36:1e) 1847007 6001714 1695860 8139694 7383334 18083551 6069833 7533265 6988582 PC(20:1p/16:0)+H PC(36:1p)+H PC (20:1p/16:0) 13855149 15166017 9015476 71011723 59946900 96568675 58680699 49404053 53153592 PC(36:2)+H PC(36:2)+H PC (18:1/18:1) 219418964 149657065 113577755 1071681085 698669045 1306180416 1589090062 1186492716 1321526178 PC(36:2e)+H PC(36:2e)+H PC (36:2e) 825058 2288822 294483 8515582 3268628 7341682 3029268 4351222 3631295 PC(18:2p/18:0)+H PC(36:2p)+H PC (18:2p/18:0) 2449211 2105691 1581612 16482738 20454763 22202405 12080750 11324342 11224758 PC(36:2p)+H PC(36:2p)+H PC (36:2p) 6876459 6830048 3760873 33276198 32117954 48103421 24897739 23696285 23387299 PC(36:3)+H PC(36:3)+H PC (16:0/20:3) 19311332 10605539 18324108 149395954 99927597 203371700 148867851 105689176 144632970 PC(18:2p/18:1)+H PC(36:3p)+H PC (18:2p/18:1) 9411864 7043705 8995220 65432592 64555739 34393429 46639296 42312142 59873318 PC(36:4)+H PC(36:4)+H PC (16:0/20:4) 113125173 61796800 65443777 970392843 693468583 1084594991 833128331 554307442 579110379 PC(36:4e)+H PC(36:4e)+H PC (36:4e) 2874252 5227401 2853530 13162899 13730432 35503097 8762435 10529267 15277003 PC(36:4p)+H PC(36:4p)+H PC (36:4p) 429555 226608 186510 3247187 2450934 1938168 2500553 1822372 778538 PC(18:4/18:1)+H PC(36:5)+H PC (18:4/18:1) 3674145 2141956 5301653 32576186 30079311 142867872 40885853 36775111 110522230 PC(36:5)+H PC(36:5)+H PC (36:5) 3528133 4889012 6301483 43142563 43544554 154900750 54354927 51833930 11233573 PC(16:0e/20:5)+H PC(36:5e)+H PC (16:0e/20:5) 9308764 6840060 6189331 75709670 68192259 88245724 48894220 37579300 41683517 PC(36:5p)+H PC(36:5p)+H PC (36:5p) 300012 145095 200932 2676755 2129820 2012616 2121500 1438064 1139635 PC(36:6)+H PC(36:6)+H PC (36:6) 278220 120514 175270 1752752 1469996 26512 2222469 1627227 207469 PC(36:6p)+H PC(36:6p)+H PC (36:6p) 713070 281961 16664 4485149 4233808 256022 3465606 2856681 4331 PC(37:1)+H PC(37:1)+H PC (37:1) 635507 1068698 248544 2118291 1839614 4592553 3160798 2464688 2145896 PC(37:2)+H PC(37:2)+H PC (37:2) 5342789 4118992 2523957 18907786 12841693 24974380 22033493 15068689 17763612 PC(37:3)+H PC(37:3)+H PC (37:3) 2127614 1681616 213678 11875476 7635188 4086475 10217137 6773494 2316787 PC(37:4)+H PC(37:4)+H PC (37:4) 3885530 2134865 267676 22000044 14351369 3687400 17928177 10324880 2300350 PC(15:0/22:5)+H PC(37:5)+H PC (15:0/22:5) 1610591 786405 319731 10709917 7968334 4210574 8464698 5426397 2278810 PC(37:5)+H PC(37:5)+H PC (37:5) 989292 736530 12639 2600731 1474460 76215 3896763 3172358 49238 PC(37:6)+H PC(37:6)+H PC (37:6) 1445085 1130607 687467 6992369 4823141 3961830 9639965 10234779 1459770 PC(38:1)+H PC(38:1)+H PC (38:1) 1232660 2539576 946684 3607588 2224295 6353098 3320273 3067032 2726034 PC(16:0/22:2)+H PC(38:2)+H PC (16:0/22:2) 13294815 12628607 5409361 41586519 28925428 62622778 52094191 40718260 45362110 PC(38:2e)+H PC(38:2e)+H PC (38:2e) 229490 1436307 225156 887315 840060 3813085 2284921 1804058 1155137 PC(28:1/10:2)+H PC(38:3)+H PC (28:1/10:2) 4842513 4871395 2342254 17875436 12136912 24497522 16650719 13501242 15299840 PC(18:0/20:3)+H PC(38:3)+H PC (18:0/20:3) 22234637 18139485 10100957 79821396 47675284 98004247 63535991 43335502 53327351 PC(38:3e)+H PC(38:3e)+H PC (38:3e) 430882 1130273 1348078 3737602 2261771 6064759 2587927 1215354 2914242 PC(24:0/14:4)+H PC(38:4)+H PC (24:0/14:4) 13612374 9039205 2249372 91093010 74001720 28057296 76972831 51227131 15860636 PC(18:0/20:4)+H PC(38:4)+H PC (18:0/20:4) 95037046 63141328 41694806 563602124 335891571 651523426 469371087 261533147 339631844 PC(38:4e)+H PC(38:4e)+H PC (38:4e) 7490326 7804870 1804445 42622033 42789404 30023761 27705185 26192846 9812738 PC(38:4p)+H PC(38:4p)+H PC (38:4p) 8854264 6385455 5170890 61602988 60679872 88333270 47928163 34973778 40139805 PC(18:1/20:4)+H PC(38:5)+H PC (18:1/20:4) 123488251 67188448 49637662 1026829551 699701692 603445846 785955557 494762868 328329122 PC(16:0/22:6)+H PC(38:6)+H PC (16:0/22:6) 316250 205733 36226 3975732 3952772 1218213 4854762 4271139 1408910 PC(18:1/20:5)+H PC(38:6)+H PC (18:1/20:5) 45908597 23103640 27490795 377976992 216516974 306444819 241072102 151122766 163755763 PC(38:6)+H PC(38:6)+H PC (38:6) 1136205 717162 244153 12683883 10655358 3742676 11676613 10470000 2703754 PC(38:6e)+H PC(38:6e)+H PC (38:6e) 13361334 10387237 7623356 111905865 106674264 102556065 71620916 57715219 44168763 PC(38:6p)+H PC(38:6p)+H PC (38:6p) 15483207 11921944 2986285 186474003 148946710 42082868 109651586 83889829 19230427 PC(38:7)+H PC(38:7)+H PC (38:7) 6194027 2910349 3775199 57266682 41523027 76273809 50017867 32127604 47411750 PC(39:3)+H PC(39:3)+H PC (39:3) 623402 546156 149834 2065681 1141695 2377725 1849315 1089868 1295349 PC(39:4)+H PC(39:4)+H PC (39:4) 758049 583494 17751 2942978 1588346 615509 3026951 1468087 496479 PC(39:5)+H PC(39:5)+H PC (39:5) 2461024 1436182 351073 14635835 9264798 3285667 10916171 6029141 1899999 PC(39:6)+H PC(39:6)+H PC (39:6) 2084165 1100748 136833 15968364 9660793 1536896 12472067 7024924 1006954 PC(39:7)+H PC(39:7)+H PC (39:7) 114469 81599 28040 1373730 1290344 566521 1018109 751688 296566 PC(40:1)+H PC(40:1)+H PC (40:1) 19628 548649 10711 320505 144391 649078 336368 440931 306415 PC(40:2)+H PC(40:2)+H PC (40:2) 1316565 1898315 483061 3032979 2104152 5781091 3826304 3613235 3786897 PC(40:3)+H PC(40:3)+H PC (40:3) 977860 857262 521195 3088227 2227626 4794615 3579280 2717439 3029600 PC(40:3p)+H PC(40:3p)+H PC (40:3p) 1011619 1294865 432318 3408918 3007870 4986580 1860751 1954303 1985437 PC(40:4)+H PC(40:4)+H PC (40:4) 8046549 8004170 5328022 23143083 19299996 32926987 19313266 11617315 24852471 PC(40:5)+H PC(40:5)+H PC (18:1/22:4) 35476101 23868537 17154310 202180672 121659424 235623419 170254214 97410757 123354126 PC(40:5e)+H PC(40:5e)+H PC (40:5e) 2307410 2136195 1247130 12360839 10362062 13311635 6702988 5753036 5438160 PC(18:0/22:6)+H PC(40:6)+H PC (18:0/22:6) 16693392 8173425 7854470 145791613 98490232 124072849 113194090 67292012 62729425 PC(20:3/20:3)+H PC(40:6)+H PC (20:3/20:3) 38490349 22084869 18171055 248754570 155666768 299018660 196182329 102666052 138892105 PC(40:6e)+H PC(40:6e)+H PC (40:6e) 6604220 3954315 2997578 32893458 36758887 34131553 22076761 20657338 13658008 PC(40:6p)+H PC(40:6p)+H PC (40:6p) 6254447 5934471 3846468 45809985 41286808 51568294 26209415 20174539 18324035 PC(20:3/20:4)+H PC(40:7)+H PC (20:3/20:4) 11268944 5665070 6826212 89085576 63804657 91042333 67185541 42362806 45131328 PC(40:7)+H PC(40:7)+H PC (40:7) 625562 301078 474227 5913374 4597529 15169575 4476428 3589157 9559417 PC(40:7p)+H PC(40:7p)+H PC (40:7p) 6945861 4196537 958797 68908268 59375419 17057378 40961551 30962137 224930 PC(40:8)+H PC(40:8)+H PC (40:8) 695421 229585 154945 13027015 10686828 17832081 11433796 5046720 9792159 PC(40:9)+H PC(40:9)+H PC (40:9) 243955 14010 18184 21171238 19778222 12056950 12062641 163603 147944 PC(41:5)+H PC(41:5)+H PC (41:5) 274828 215707 8525 1210076 549552 214202 882757 448922 123176 PC(41:6)+H PC(41:6)+H PC (41:6) 416032 195420 126235 2087186 1286584 2068692 1688521 788683 1128524 PC(41:7)+H PC(41:7)+H PC (41:7) 462302 198785 106902 3976977 2204088 159245 2805904 1497294 16894 PC(42:1)+H PC(42:1)+H PC (42:1) 21921 194041 63453 35201 9395 271505 62485 114660 79275 PC(42:10)+H PC(42:10)+H PC (42:10) 370351 246264 19589 2660492 2327177 208777 1759486 1406162 78571 PC(42:2)+H PC(42:2)+H PC (42:2) 253232 738559 8974 510969 361646 1299045 698072 820622 739271 PC(42:3p)+H PC(42:3p)+H PC (42:3p) 363646 741983 78597 1257336 1010573 2117577 610797 536191 452085 PC(42:4p)+H PC(42:4p)+H PC (42:4p) 2326778 2136343 859992 6337502 5303164 10823482 3644317 2929616 3074872 PC(42:6)+H PC(42:6)+H PC (42:6) 697545 351692 13399 6651920 3672753 1500680 5047201 2678595 696402 PC(42:6e)+H PC(42:6e)+H PC (42:6e) 3281320 3528394 1633277 10986222 9522431 15595214 6976105 5637816 5377179 PC(42:7)+H PC(42:7)+H PC (42:7) 1170406 624085 59451 7819357 4605787 6286859 6271700 3287502 3667056 PC(42:7p)+H PC(42:7p)+H PC (42:7p) 304595 143764 17459 2186988 2477986 2982157 937663 1154367 532011 PC(42:8)+H PC(42:8)+H PC (42:8) 559523 158973 469871 2441322 2105502 596625 1789640 1016874 2671616 PC(42:9)+H PC(42:9)+H PC (42:9) 285002 96473 91760 6320647 5106113 47424 4786814 2985749 620202 PC(44:1)+H PC(44:1)+H PC (44:1) 0 0 0 0 0 0 0 0 0 PC(44:2)+H PC(44:2)+H PC (44:2) 0 0 0 31147 0 34726 28312 14838 15622 PE(12:0/14:0)−H PE(26:0)−H PE (12:0/14:0) 877320 765934 1107693 479419 961567 392491 284392 391284 776168 PE(26:0)−H PE(26:0)−H PE (26:0) 10461181 10193378 10101341 11474936 10941789 11531491 12749953 11031927 11394620 PE(32:0p)−H PE(32:0p)−H PE (32:0p) 20315 31271 113871 516675 436257 840690 345402 542576 787825 PE(16:0/16:1)−H PE(32:1)−H PE (16:0/16:1) 1079702 641093 530955 4259541 3407279 4157685 6354298 6636938 7424439 PE(16:0p/16:1)−H PE(32:1p)−H PE (16:0p/16:1) 1407803 664223 631263 6502003 4179502 4350051 6229817 6216071 5535087 PE(16:1/16:1)−H PE(32:2)−H PE (16:1/16:1) 65384 33617 52703 248608 608883 532581 1362998 1044307 864687 PE(17:1/16:0)−H PE(33:1)−H PE (17:1/16:0) 23662 10943 44465 261173 245512 53221 727329 348259 564830 PE(33:1p)−H PE(33:1p)−H PE (33:1p) 284615 207250 119774 974402 649777 781100 1246718 730405 697463 PE(16:0/18:1)−H PE(34:1)−H PE (16:0/18:1) 4670374 3364575 2608414 18480259 12617967 15319787 21791565 26672687 23939326 PE(16:0p/18:1)−H PE(34:1p)−H PE (16:0p/18:1) 7933089 6776006 4301086 29675616 22313983 30783198 20610189 33048166 31675888 PE(16:1/18:1)−H PE(34:2)−H PE (16:1/18:1) 833382 496698 474042 4411219 3883160 4468359 7423287 6579351 6241736 PE(18:1p/16:1)−H PE(34:2p)−H PE (18:1p/16:1) 1128730 747798 516745 5468672 5833115 6912104 6954297 6583106 4628105 PE(16:0p/18:2)−H PE(34:2p)−H PE (16:0p/18:2) 261859 945372 111451 1475239 1079665 988558 7723369 1038837 995103 PE(16:1/18:2)−H PE(34:3)−H PE (16:1/18:2) 0 0 0 290695 348797 313300 595403 520002 403197 PE(16:0p/18:3)−H PE(34:3p)−H PE (16:0p/18:3) 180812 113867 116422 940853 870734 1073238 1207176 1189320 1194719 PE(17:0/18:1)−H PE(35:1)−H PE (17:0/18:1) 160428 104560 69353 558367 463948 554162 750101 631768 725432 PE(17:1/18:1)−H PE(35:2)−H PE (17:1/18:1) 443278 136018 138961 1424928 1047325 1323660 2812265 2239564 1668603 PE(18:0/18:1)−H PE(36:1)−H PE (18:0/18:1) 1421789 1446827 1034206 5399013 4417839 6643745 5813534 8997591 9114083 PE(36:1)−H PE(36:1)−H PE (36:1) 415360 215231 86790 2628405 2225986 1850515 3310956 5264515 491949 PE(18:0p/18:1)−H PE(36:1p)−H PE (18:0p/18:1) 1125675 1376566 837927 3805201 3763497 5404133 2843291 5172753 4825824 PE(18:1/18:1)−H PE(36:2)−H PE (18:1/18:1) 7505580 720840 507799 4539759 3216573 19669952 47228634 36522494 37490323 PE(18:1p/18:1)−H PE(36:2p)−H PE (18:1p/18:1) 4858022 3206616 2390188 19194067 15306858 18719127 17525117 19272819 17619921 PE(16:0/20:3)−H PE(36:3)−H PE (16:0/20:3) 184100 72617 72449 1339098 891690 1260412 1695811 948950 1924390 PE(18:1/18:2)−H PE(36:3)−H PE (18:1/18:2) 997218 467752 489897 5924653 3813311 4451956 7377826 6046072 5674505 PE(16:0p/20:3)−H PE(36:3p)−H PE (16:0p/20:3) 2060112 1513199 1234494 8966460 8777144 10026565 9017780 10548334 10147034 PE(36:3p)−H PE(36:3p)−H PE (36:3p) 601284 267484 154108 2772190 2822090 2837733 2615126 3819494 1702071 PE(16:0/20:4)−H PE(36:4)−H PE (16:0/20:4) 1533862 784905 839695 8299759 6949456 8296843 13349623 12490424 9798806 PE(16:1/20:3)−H PE(36:4)−H PE (16:1/20:3) 0 0 0 63814 37695 135632 441949 371736 246019 PE(16:0p/20:4)−H PE(36:4p)−H PE (16:0p/20:4) 14847809 9949236 7821593 87386040 82142785 64340444 70538600 82997643 61233670 PE(16:0/20:5)−H PE(36:5)−H PE (16:0/20:5) 43235 18442 8097 276286 296682 265733 471119 542475 352664 PE(16:1/20:4)−H PE(36:5)−H PE (16:1/20:4) 62913 18671 28242 620906 664982 244723 1181079 1241076 776997 PE(18:0/20:2)−H PE(38:2)−H PE (18:0/20:2) 67636 158025 123852 487539 428430 617126 588560 807636 866364 PE(16:0p/22:2)−H PE(38:2p)−H PE (16:0p/22:2) 281159 326553 235086 799865 754510 1097689 672784 1068174 954474 PE(18:0/20:3)−H PE(38:3)−H PE (18:0/20:3) 503807 349186 293419 2141607 1641504 2550106 2498788 3067671 3259440 PE(18:1/20:2)−H PE(38:3)−H PE (18:1/20:2) 604967 342597 279993 2858098 1777982 2811003 3207149 2737000 3129624 PE(16:0p/22:3)−H PE(38:3p)−H PE (16:0p/22:3) 811740 700793 459821 2776342 2469757 3028879 2344400 5848869 5584451 PE(38:3p)−H PE(38:3p)−H PE (38:3p) 390224 375759 223331 1299945 1222774 1608561 1180206 1670534 1558562 PE(18:0/20:4)−H PE(38:4)−H PE (18:0/20:4) 2456039 1537488 1269299 12193195 8539222 9832922 13361844 15608337 12626893 PE(18:1/20:3)−H PE(38:4)−H PE (18:1/20:3) 1007186 585209 382659 4607240 2626747 3983617 6232722 4777064 3920822 PE(38:4e)−H PE(38:4e)−H PE (38:4e) 302434 225823 151889 1057487 979312 1186350 1045707 1293714 1225036 PE(16:0p/22:4)−H PE(38:4p)−H PE (16:0p/22:4) 2824362 2134283 1640321 14855295 12909452 14744387 13726763 13926467 13307321 PE(18:0p/20:4)−H PE(38:4p)−H PE (18:0p/20:4) 4212506 3217026 1968005 17286317 15134250 16677488 14756618 17797914 15074675 PE(38:4p)−H PE(38:4p)−H PE (38:4p) 1275250 603755 418564 7674815 4959208 4517960 5477709 5621069 5548156 PE(18:0/20:5)−H PE(38:5)−H PE (18:0/20:5) 139250 46613 61625 490866 513134 465201 947568 1239005 703804 PE(18:1/20:4)−H PE(38:5)−H PE (18:1/20:4) 2645119 1239988 1330129 19152712 12845909 15561483 24011724 19394560 16184988 PE(16:0p/22:5)−H PE(38:5p)−H PE (16:0p/22:5) 1020132 750007 685545 5253798 4344806 5508538 5815080 6578847 4144991 PE(18:1p/20:4)−H PE(38:5p)−H PE (18:1p/20:4) 18167898 9992029 9133217 109131302 94797038 93740973 99657388 97189853 78540805 PE(16:0/22:6)−H PE(38:6)−H PE (16:0/22:6) 453256 298791 336584 4356562 2654738 3355473 6670093 5408285 4264692 PE(16:1/22:5)−H PE(38:6)−H PE (16:1/22:5) 0 0 0 63696 40670 39605 185213 85136 49828 PE(18:0/22:3)−H PE(40:3)−H PE (18:0/22:3) 10960 32758 5181 90268 86436 103615 98373 164864 157645 PE(18:0p/22:3)−H PE(40:3p)−H PE (18:0p/22:3) 105813 100584 54648 222433 228302 279612 128884 274839 311913 PE(18:0/22:4)−H PE(40:4)−H PE (18:0/22:4) 197285 133407 90504 722815 608975 751146 964835 1176101 1129595 PE(18:0p/22:4)−H PE(40:4p)−H PE (18:0p/22:4) 341756 315309 166741 999742 1024226 1041341 772417 1158364 933855 PE(40:4p)−H PE(40:4p)−H PE (40:4p) 313649 199013 137246 932144 892047 1081932 841184 1130327 866241 PE(18:0/22:5)−H PE(40:5)−H PE (18:0/22:5) 527006 243609 209621 1983469 1550990 1452927 2619422 2904516 2123746 PE(18:1/22:4)−H PE(40:5)−H PE (18:1/22:4) 163699 144849 203727 367469 1494992 2661305 3285923 1513453 259669 PE(18:0p/22:5)−H PE(40:5p)−H PE (18:0p/22:5) 2041532 1449484 937204 9420474 8270899 8781302 8000425 8017983 7306739 PE(40:5p)−H PE(40:5p)−H PE (40:5p) 898601 567161 378189 4555131 4354962 4492408 3859235 4315532 3492115 PE(18:0/22:6)−H PE(40:6)−H PE (18:0/22:6) 456020 320955 351867 3453274 2887356 2770119 4424900 5133451 4233378 PE(18:1/22:5)−H PE(40:6)−H PE (18:1/22:5) 244484 51197 79945 2122305 1002298 1681511 3048169 1158483 1137637 PE(18:0p/22:6)−H PE(40:6p)−H PE (18:0p/22:6) 1800305 1170822 832720 9062998 7123449 7785257 7858181 8270007 6518608 PE(18:1p/22:5)−H PE(40:6p)−H PE (18:1p/22:5) 3161341 1499520 1390375 18729479 16246040 15946927 17515537 14942159 12335392 PE(18:1/22:6)−H PE(40:7)−H PE (18:1/22:6) 941525 355493 371498 3831991 4065602 3598662 8154213 6652706 4374268 PE(18:1p/22:6)−H PE(40:7p)−H PE (18:1p/22:6) 3150208 1584213 1628730 23608459 18768736 19054191 21417700 18405634 15062359 PEt(16:0/16:1)−H PEt(32:1)−H PEt (16:0/16:1) 64720 1344878 93787 1405930 546333 3045089 2114122 3800890 3855758 PEt(32:4)−H PEt(32:4)−H PEt (32:4) 265879817 260099010 208850921 301831955 277220807 266517451 286189223 295454582 230243440 PEt(18:0/16:1)−H PEt(34:1)−H PEt (18:0/16:1) 247830 545581 452038 913504 1187126 1405160 824157 1810344 1678593 PEt(18:2/18:2)−H PEt(36:4)−H PEt (18:2/18:2) 1976185 1909483 752042 5211107 6353043 5173947 5470924 8408667 5567100 PG(12:0/14:0)−H PG(26:0)−H PG (12:0/14:0) 3291637 2997687 3007356 3085481 2843118 3106016 3129105 3256623 3154080 PG(16:0/14:0)−H PG(30:0)−H PG (16:0/14:0) 352443 336195 292120 328874 397200 394890 419035 471553 504201 PG(16:0/16:1)−H PG(32:1)−H PG (16:0/16:1) 631058 418905 401284 4095250 5590127 4226058 3085287 3792768 2368527 PG(17:1/16:0)−H PG(33:1)−H PG (17:1/16:0) 89999 63767 62562 719959 833553 483528 501273 357480 280114 PG(16:0/18:1)−H PG(34:1)−H PG (16:0/18:1) 12340035 3640873 2211621 19828140 34567636 24318862 11385031 21286743 14349189 PG(16:1/18:1)−H PG(34:2)−H PG (16:1/18:1) 10231708 1799465 2152385 74557729 67479992 50699450 45455230 43657072 31137299 PG(17:0/18:1)−H PG(35:1)−H PG (17:0/18:1) 615295 394993 352068 1930499 1593585 1927138 2297579 2264977 2563620 PG(17:1/18:1)−H PG(35:2)−H PG (17:1/18:1) 633193 1433325 1055848 11187622 5669506 4382943 2326950 2856001 4736977 PG(18:0/18:1)−H PG(36:1)−H PG (18:0/18:1) 2700682 2248244 1388609 15456940 18792438 13941546 11082399 13481106 10600139 PG(18:1/18:1)−H PG(36:2)−H PG (18:1/18:1) 6228328 5062662 3249408 80685389 79915316 70401269 37346626 48603600 32344109 PG(18:1/18:2)−H PG(36:3)−H PG (18:1/18:2) 10305443 7427137 6063942 73899862 95911164 65157688 45814873 54018692 33232855 PG(20:1/18:1)−H PG(38:2)−H PG (20:1/18:1) 1282635 1541031 2363373 23928820 14996281 10694865 13223606 17577282 5116248 PG(18:1/20:2)−H PG(38:3)−H PG (18:1/20:2) 7711014 5596874 4185118 69259272 79775353 59832706 36801707 48658730 29691872 PG(18:0/20:4)−H PG(38:4)−H PG (18:0/20:4) 107276 57097 47148 916269 601225 881476 1139932 867436 489397 PG(18:1/20:3)−H PG(38:4)−H PG (18:1/20:3) 1677516 1689625 1307103 17350069 21925654 14982464 10423762 11158839 6163298 PG(18:1/20:4)−H PG(38:5)−H PG (18:1/20:4) 247645 23761 44001 1569165 3109323 1470528 615768 1148114 428740 PG(16:0/22:6)−H PG(38:6)−H PG (16:0/22:6) 343275 184531 177784 3384787 3202373 2231793 1852009 1870197 1111921 PG(18:1/22:4)−H PG(40:5)−H PG (18:1/22:4) 851725 510407 341038 6050912 11603163 4860092 2647128 2217423 1912825 PG(18:0/22:6)−H PG(40:6)−H PG (18:0/22:6) 294653 161602 101326 2756435 2810825 1916883 1142241 1241307 645921 PG(18:1/22:5)−H PG(40:6)−H PG (18:1/22:5) 1056786 773603 596156 9313613 8612813 6405516 4518879 1540214 2326406 PG(18:1/22:6)−H PG(40:7)−H PG (18:1/22:6) 5487140 3216550 2820380 55289513 56888693 39963703 29060838 29322371 17762536 PG(20:1/22:6)−H PG(42:7)−H PG (20:1/22:6) 218470 169244 102094 1569794 2147954 1865542 956297 768939 756347 PG(20:2/22:6)−H PG(42:8)−H PG (20:2/22:6) 46021 24702 7242 1425256 1696390 988736 549617 335515 176670 PI(16:0/18:1)−H PI(34:1)−H PI (16:0/18:1) 5572244 3228984 3578165 28139255 15983205 16247138 23732089 21248245 24374785 PI(16:1/18:1)−H PI(34:2)−H PI (16:1/18:1) 80636 29805 382819 6076637 6375888 5651124 6700759 6249597 5678897 PI(18:0/18:1)−H PI(36:1)−H PI (18:0/18:1) 1353621 1328199 1118896 4262146 3103471 6042663 3657919 3354109 4531768 PI(16:0/20:3)−H PI(36:3)−H PI (16:0/20:3) 54556 24544 37397 2047115 131263 487763 1224725 1109445 1350953 PI(18:1/18:2)−H PI(36:3)−H PI (18:1/18:2) 444587 182945 282025 3105247 2107990 3027684 2622737 2039418 2258793 PI(16:0/20:4)−H PI(36:4)−H PI (16:0/20:4) 598914 0 279422 7055333 4886231 5866008 6599973 6020985 5100684 PI(17:0/20:4)−H PI(37:4)−H PI (17:0/20:4) 126712 42475 62953 833203 374643 743226 559695 389566 471825 PI(20:1/18:1)−H PI(38:2)−H PI (20:1/18:1) 175259 86079 50923 439277 480013 581942 435423 360639 412422 PI(18:0/20:3)−H PI(38:3)−H PI (18:0/20:3) 1217639 840910 794515 6808681 4892684 7298507 4936747 4987182 5263259 PI(18:1/20:3)−H PI(38:4)−H PI (18:1/20:3) 1528781 834554 1015566 9297027 7322788 9009607 7010900 6338816 6206770 PI(18:0/20:5)−H PI(38:5)−H PI (18:0/20:5) 105336 37219 42397 846382 586060 791803 770636 618613 509848 PI(18:1/20:4)−H PI(38:5)−H PI (18:1/20:4) 3401763 567106 1327226 21639659 13688994 16648897 18552681 13090246 11532472 PI(18:0/22:4)−H PI(40:4)−H PI (18:0/22:4) 70300 10342 44277 311169 606438 601805 311001 92442 302088 PMe(14:0/14:0)−H PMe(28:0)−H PMe (14:0/14:0) 171922 180428 199438 130882 139796 213640 129113 162779 138701 PMe(34:5)−H PMe(34:5)−H PMe (34:5) 168686234 186690542 176316357 200012780 179283160 213223306 159526553 188673115 187834497 PMe(42:6)−H PMe(42:6)−H PMe (42:6) 5405393 4557433 4292756 23101077 15239469 28664591 20099893 26906924 25140106 PS(12:0/14:0)−H PS(26:0)−H PS (12:0/14:0) 1747977 1622250 1682897 1716105 1618233 1662372 1717501 1719096 1615557 PS(16:0/16:1)−H PS(32:1)−H PS (16:0/16:1) 728060 235649 568002 3565582 3195954 3075828 4942848 6561468 5130558 PS(33:1)−H PS(33:1)−H PS (33:1) 499826 405674 283691 4401113 5524904 2387274 2958538 3100594 1489335 PS(18:0/16:1)−H PS(34:1)−H PS (18:0/16:1) 1055749 548738 684137 3216582 2835107 3319316 3827580 3654067 4668131 PS(34:3p)−H PS(34:3p)−H PS (34:3p) 153507 21797 41263 198436 98626 367469 722045 457006 312790 PS(35:0)−H PS(35:0)−H PS (35:0) 11891104 7835215 7431554 59353871 68314802 52272315 85687569 86949801 81080831 PS(17:0/18:1)−H PS(35:1)−H PS (17:0/18:1) 1307641 275623 497854 7336355 5700796 2616582 7552859 1167330 1726211 PS(35:1)−H PS(35:1)−H PS (35:1) 848351 757585 414645 4454321 4979022 3822279 3571141 4806042 2964179 PS(35:2)−H PS(35:2)−H PS (35:2) 3415928 2242422 1538013 34883266 36475561 24156246 17252639 19458459 11929743 PS(18:0/18:2)−H PS(36:2)−H PS (18:0/18:2) 2201906 1098564 1372590 8751952 5914013 10784726 11546559 9446142 10329044 PS(16:0/20:3)−H PS(36:3)−H PS (16:0/20:3) 334321 165257 202550 1772472 1390975 1484428 2026197 1917175 1847899 PS(18:1/18:2)−H PS(36:3)−H PS (18:1/18:2) 285503 38926 96427 1161619 883620 1197986 2051319 1271760 1100368 PS(36:3)−H PS(36:3)−H PS (36:3) 856597 537999 391845 2349840 2065038 2484307 4013435 3709721 3775290 PS(36:3p)−H PS(36:3p)−H PS (36:3p) 1785308 961455 880839 4932449 3706720 4723479 4655192 5670664 5512313 PS(16:0/20:4)−H PS(36:4)−H PS (16:0/20:4) 336875 75210 152969 1793993 1503983 1231651 2493720 1831652 1787382 PS(36:4)−H PS(36:4)−H PS (36:4) 2097741 1103090 1282076 6739204 3862077 6358071 5643547 4649414 8285398 PS(37:1)−H PS(37:1)−H PS (37:1) 4922567 2295692 2782683 28551029 24264289 19901449 30741768 29723358 25818331 PS(37:2)−H PS(37:2)−H PS (37:2) 581557 461162 307952 4041114 4606071 2742459 2628164 3564788 1791980 PS(38:1)−H PS(38:1)−H PS (38:1) 119029 88780 159751 636909 486060 845525 553894 730622 913435 PS(20:1/18:1)−H PS(38:2)−H PS (20:1/18:1) 682040 256270 365044 1439149 1314610 2090937 2117005 930228 2366094 PS(18:0/20:3)−H PS(38:3)−H PS (18:0/20:3) 2132736 1403886 1679340 8519606 7565340 9227315 12239549 11672688 9127945 PS(38:3)−H PS(38:3)−H PS (38:3) 303414 264363 212408 1012883 908749 1120841 1194372 1746140 1675591 PS(18:0/20:4)−H PS(38:4)−H PS (18:0/20:4) 5071910 2766460 3001663 15129170 10456168 13919549 18462765 17593909 9290622 PS(18:1/20:3)−H PS(38:4)−H PS (18:1/20:3) 298626 79786 145696 1957206 1133429 1494316 2248184 1564366 1492944 PS(16:0/22:5)−H PS(38:5)−H PS (16:0/22:5) 631783 264480 374479 3800992 2890287 2781598 4853679 3717065 3093176 PS(18:0/20:5)−H PS(38:5)−H PS (18:0/20:5) 94722 20015 40398 562024 452681 479599 749689 610233 520897 PS(18:1/20:4)−H PS(38:5)−H PS (18:1/20:4) 838980 263611 422542 3422104 1488738 2276767 2961791 2468318 3377401 PS(38:5p)−H PS(38:5p)−H PS (38:5p) 439142 327919 234062 1530658 1573139 1511334 1625238 1865422 1770846 PS(16:0/22:6)−H PS(38:6)−H PS (16:0/22:6) 501663 107194 37689 2985399 3010170 2363829 5145432 4645671 2908666 PS(38:6)−H PS(38:6)−H PS (38:6) 190530 116195 73015 1150058 737999 556878 2223577 1819388 743138 PS(38:6p)−H PS(38:6p)−H PS (38:6p) 3058936 1743299 1491375 11124637 10406271 9116870 12830113 12351643 9161699 PS(39:1)−H PS(39:1)−H PS (39:1) 21472680 7500910 8866920 95030677 55056388 80746806 113680900 77726111 88499517 PS(39:2)−H PS(39:2)−H PS (39:2) 1701928 574271 809532 7955388 7889742 9098386 9503874 8905526 8072334 PS(39:3)−H PS(39:3)−H PS (39:3) 7562192 2893484 4314539 39378240 26194377 30330579 34724630 20359292 19099215 PS(39:4)−H PS(39:4)−H PS (39:4) 174727 137788 52371 751861 993695 787691 923285 1390819 853288 PS(18:1/22:1)−H PS(40:2)−H PS (18:1/22:1) 211765 131163 105038 906808 629577 1053062 1004361 1014675 1314302 PS(18:0/22:3)−H PS(40:3)−H PS (18:0/22:3) 117790 97259 86093 319668 380740 347482 556349 545886 711212 PS(18:0/22:4)−H PS(40:4)−H PS (18:0/22:4) 1059849 759626 644472 4483430 3452818 3693518 5363200 4875192 3881488 PS(18:0/22:5)−H PS(40:5)−H PS (18:0/22:5) 4009613 1637162 2078516 18696559 12150436 15059529 21740311 17737498 16812537 PS(18:1/22:5)−H PS(40:6)−H PS (18:1/22:5) 400712 160981 244435 2799589 2059668 2503137 3013450 2259542 2186611 PS(20:3/20:3)−H PS(40:6)−H PS (20:3/20:3) 389400 191995 232757 1710663 883861 1305603 1812219 2230930 1801707 PS(40:6)−H PS(40:6)−H PS (40:6) 494268 248494 234205 1966696 1411806 1424032 2098029 2298978 1936260 PS(40:6p)−H PS(40:6p)−H PS (40:6p) 707637 454905 358939 2629775 2390393 2262508 2398545 2804321 2134177 PS(40:7)−H PS(40:7)−H PS (40:7) 713739 257615 320733 3279013 2087894 2629185 3657706 3494664 3004160 PS(40:7p)−H PS(40:7p)−H PS (40:7p) 3404289 1681403 1688420 14272302 12030497 11620051 14088569 13169645 10420450 PS(40:8p)−H PS(40:8p)−H PS (40:8p) 1158661 586133 600767 6251230 5583727 4875480 5065880 5810101 4726658 PS(41:3)−H PS(41:3)−H PS (41:3) 951865 448118 576995 6334791 4490267 4931429 5021684 4904387 3341606 PS(41:6)−H PS(41:6)−H PS (41:6) 22049 50058 32814 595444 859340 309582 1355926 1290654 348166 PS(18:1/24:0)−H PS(42:1)−H PS (18:1/24:0) 0 0 0 78009 92103 135517 62221 168266 125115 PS(42:8)−H PS(42:8)−H PS (42:8) 528806 186309 250649 2764970 1593369 2156639 2975047 2475408 2258198 PS(42:9)−H PS(42:9)−H PS (42:9) 655042 310004 341129 3220608 465873 777565 3104689 4127216 2719050 PS(43:5)−H PS(43:5)−H PS (43:5) 399617 80990 126503 6515173 2668871 686037 2153097 1749608 2124165 SM(d30:1)+H SM(d30:1)+H SM (d30:1) 184761 5382 14779 866346 781539 209443 1130358 416195 4283 SM(d31:1)+H SM(d31:1)+H SM (d31:1) 427008 150855 466 2270811 2533152 943006 2538922 2311377 668695 SM(d32:0)+H SM(d32:0)+H SM (d32:0) 473741 370664 111987 1735887 1305533 32890 1208742 946996 274128 SM(d18:1/14:0)+H SM(d32:1)+H SM (d18:1/14:0) 7818523 20504 6262040 32366470 27041416 27014979 173448 21930898 23043602 SM(d32:2)+H SM(d32:2)+H SM (d32:2) 600410 243608 168444 3212485 2749113 656289 3608219 2578234 586473 SM(d33:0)+H SM(d33:0)+H SM (d33:0) 12151 16349 0 206379 121547 0 70774 72621 0 SM(d33:1)+H SM(d33:1)+H SM (d33:1) 5596548 5691769 2079406 21071331 17330654 6221359 13635154 13910253 4879777 SM(d33:2)+H SM(d33:2)+H SM (d33:2) 119774 27949 129727 92682 121048 913068 67553 39101 954329 SM(d34:0)+H SM(d34:0)+H SM (d34:0) 531968 1060649 191806 2776677 1677349 462776 1387235 1737559 140360 SM(d18:1/16:0)+H SM(d34:1)+H SM (d18:1/16:0) 35824469 959523 40846729 210739888 159212544 283052883 111241569 116668495 91200619 SM(d34:1)+H SM(d34:1)+H SM (d34:1) 4014190 5945051 871296 22959034 16691791 3042523 14311776 14729234 1573077 SM(d16:1/18:1)+H SM(d34:2)+H SM (d16:1/18:1) 42333904 22114632 17789107 190952103 166808400 162476304 175300054 131907407 132613919 SM(d34:3)+H SM(d34:3)+H SM (d34:3) 232532 60609 136666 388860 346762 703869 508118 255949 698658 SM(d34:4)+H SM(d34:4)+H SM (d34:4) 559956 376400 154329 1521461 1760238 1100388 1117816 1644385 746223 SM(d35:1)+H SM(d35:1)+H SM (d35:1) 180977 391534 136733 1481697 726060 489660 442998 811736 241385 SM(d35:2)+H SM(d35:2)+H SM (d35:2) 798449 449549 75756 3315470 2435349 475610 2569022 1768462 1291097 SM(d35:4)+H SM(d35:4)+H SM (d35:4) 247304 248559 55237 1113039 1198834 576193 650921 907564 201684 SM(d18:1/18:0)+H SM(d36:1)+H SM (d18:1/18:0) 330872 1193973 1424333 22431 2204929 5098132 1453730 11115 941319 SM(d36:2)+H SM(d36:2)+H SM (d18:1/18:1) 16207446 10582364 9355930 70591061 52734427 99978698 50039781 34951530 21926216 SM(d36:4)+H SM(d36:4)+H SM (d36:4) 1746122 3294399 588684 21429659 21737861 3800110 7934140 12147626 1774108 SM(d36:5)+H SM(d36:5)+H SM (d36:5) 1394701 744751 158246 8490499 11206161 648707 6617846 7894908 1119755 SM(d38:2)+H SM(d38:2)+H SM (d38:2) 548044 647588 8751 1338183 1034372 323671 1030639 321318 33557 SM(d39:7)+H SM(d39:7)+H SM (d39:7) 927702 33649 0 187082 25244 0 727460 301859 0 SM(d40:1)+H SM(d40:1)+H SM (d40:1) 10422 20394 130448 150910 118922 15393 179294 132116 44245 SM(d40:2)+H SM(d40:2)+H SM (d40:2) 783199 1207674 643999 893349 680653 1587991 509401 449195 520464 SM(d41:2)+H SM(d41:2)+H SM (d41:2) 101925 449159 58179 247523 178194 138603 113268 128450 16764 SM(d18:1/24:1)+H SM(d42:2)+H SM (d18:1/24:1) 810831 2310964 1211292 2221901 975598 2461500 1085621 1514922 895862 SM(d42:2)+H SM(d42:2)+H SM (d42:2) 413380 1375280 320873 926115 372649 692412 698855 657467 231704 SM(d22:0/20:3)+H SM(d42:3)+H SM (d22:0/20:3) 4379800 5429055 2431167 5152508 4866803 7141033 3732288 3045049 3307694 SM(d42:5)+H SM(d42:5)+H SM (d42:5) 22257 114243 0 0 0 0 0 0 0 SM(d43:3)+H SM(d43:3)+H SM (d43:3) 9359 27348 4137 167426 25219 71679 46618 17132 8872 SM(d44:2)+H SM(d44:2)+H SM (d44:2) 0 0 0 0 0 0 0 0 0 SM(d44:3)+H SM(d44:3)+H SM (d44:3) 0 0 0 0 0 0 0 0 0 SM(d44:5)+H SM(d44:5)+H SM (d44:5) 135954 100436 6363 153592 52620 6770 0 0 0 SM(d44:6)+H SM(d44:6)+H SM (d44:6) 657626 487421 148152 565599 267374 15924 232068 212798 318887 TG(8:0/8:0/8:0)+NH4 TG(24:0)+NH4 TG (8:0/8:0/8:0) 1242314 3209402 276628 1668652 2213903 145003 949093 5710411 23079 TG(8:0/8:0/10:0)+NH4 TG(26:0)+NH4 TG (8:0/8:0/10:0) 1318270 4557273 176287 2382874 3207039 379462 1175973 10295214 53577 TG(8:0/10:0/10:0)+NH4 TG(28:0)+NH4 TG (8:0/10:0/10:0) 980514 5169872 41175 2380979 3560819 53139 343546 12759725 38818 TG(10:0/10:0/10:0)+NH4 TG(30:0)+NH4 TG (10:0/10:0/10:0) 55030 651568 112134 81597 108823 30295 86425 1053795 8762 TG(16:0/8:0/8:0)+NH4 TG(32:0)+NH4 TG (16:0/8:0/8:0) 96036 486150 104161 117254 179479 150507 93300 403362 136769 TG(16:0/9:0/9:0)+NH4 TG(34:0)+NH4 TG (16:0/9:0/9:0) 604664 901783 82022 683116 536194 33185 649749 1187702 246282 TG(8:0/8:0/18:1)+NH4 TG(34:1)+NH4 TG (8:0/8:0/18:1) 324371 672784 36583 348459 396874 152647 259133 765937 56563 TG(15:0/14:0/15:0)+NH4 TG(44:0)+NH4 TG (15:0/14:0/15:0) 1618712 1135131 286008 1525824 1395121 268843 1619431 1331287 279788 TG(44:5p)+NH4 TG(44:5p)+NH4 TG (44:5p) 25543551 3986465 0 12597022 2446009 0 16349391 18607921 0 TG(15:0/14:0/16:0)+NH4 TG(45:0)+NH4 TG (15:0/14:0/16:0) 4118381 3720750 2541428 3930797 1343349 1475096 3565070 4164813 1675552 TG(16:0/14:0/16:0)+NH4 TG(46:0)+NH4 TG (16:0/14:0/16:0) 6795037 5052665 2878349 6022438 6242181 2016110 5937839 5877263 4336876 TG(46:1)+NH4 TG(46:1)+NH4 TG (46:1) 4768439 4079835 1473258 4479206 6299514 1142516 5959002 7292691 1431422 TG(15:0/16:0/16:0)+NH4 TG(47:0)+NH4 TG (15:0/16:0/16:0) 6090749 8838655 3231545 6335618 7647977 2156161 5507524 5972182 2732225 TG(16:0/16:0/16:0)+NH4 TG(48:0)+NH4 TG (16:0/16:0/16:0) 8140830 5972302 2771992 7304466 7413730 4021792 7229802 6299631 3277730 TG(16:0/16:0/16:1)+NH4 TG(48:1)+NH4 TG (16:0/16:0/16:1) 6248878 5074336 2682659 5508672 5837385 1721460 5661303 11138979 2297653 TG(18:0/16:0/16:0)+NH4 TG(50:0)+NH4 TG (18:0/16:0/16:0) 11403968 9758925 1882255 10674644 11493263 1366220 10672750 11306892 1668406 TG(16:0/16:0/18:1)+NH4 TG(50:1)+NH4 TG (16:0/16:0/18:1) 12279240 8130914 2969720 11354171 6912034 1356077 6611148 5494692 3212002 TG(18:0/16:0/18:1)+NH4 TG(52:1)+NH4 TG (18:0/16:0/18:1) 5819358 4864513 1634976 5557327 5378670 1096755 5506420 5373435 1335435 TG(16:0/18:1/18:1)+NH4 TG(52:2)+NH4 TG (16:0/18:1/18:1) 9061242 10072579 2244070 8249171 8874213 1748260 10205374 11992060 1732428 TG(16:1/18:1/18:1)+NH4 TG(52:3)+NH4 TG (16:1/18:1/18:1) 4725098 2738900 643761 2902454 4511770 452722 2861650 3029603 581059 TG(18:0/18:1/18:1)+NH4 TG(54:2)+NH4 TG (18:0/18:1/18:1) 5654594 4489151 979908 5202267 5196027 709183 5389810 5130435 810488 TG(18:1/18:1/18:1)+NH4 TG(54:3)+NH4 TG (18:1/18:1/18:1) 11724150 8431628 1404204 14224033 14670275 991967 10211213 9201560 1610674 TG(18:1/18:1/18:2)+NH4 TG(54:4)+NH4 TG (18:1/18:1/18:2) 4680624 3917537 621665 4058915 4707413 505091 3930835 4407047 590330 TG(18:1/18:2/18:2)+NH4 TG(54:5)+NH4 TG (18:1/18:2/18:2) 2507239 3032444 297703 2273173 2380920 261082 2921273 2359582 259348 TG(18:2/18:2/18:2)+NH4 TG(54:6)+NH4 TG (18:2/18:2/18:2) 1746477 1389870 74698 1991526 1796868 49971 1894205 1709018 44805 TOTAL 3.829E+09 3.116E+09 2.416E+09 2.059E+10 1.748E+10 2.482E+10 2.240E+10 1.886E+10 1.810E+10 The values in the tale are relative signal response (signal's peak area count is normalized to sample weight and peak area count of the internal standard signal)

TABLE 7 MDA-MB-4175 Exomere MDA-MB-4175 Exo-S Lipid Lipid Fatty Acid Exomere Exomere Exomere Exo-S Exo-S Exo-S Exo-L Exo-L Exo-L Lipid Ion Group Class Chain replicate 1 replicate 2 replicate 3 replicate 1 replicate 2 replicate 3 replicate 1 replicate 2 replicate 3 AcCa(14:0)+H AcCa(14:0)+H AcCa (14:0) 236921 60280 40369 126480 157838 152846 1834630 284936 421408 AcCa(16:0)+H AcCa(16:0)+H AcCa (16:0) 173132 115487 99632 290548 540773 602220 2904828 842170 1601012 AcCa(18:0)+H AcCa(18:0)+H AcCa (18:0) 130334 141303 32252 253192 333198 458510 3139944 678326 1301103 AcCa(18:1)+H AcCa(18:1)+H AcCa (18:1) 262216 178530 181058 384403 477005 418190 3551080 722892 775428 Cer(d18:1/10:0)+H Cer(d28:1)+H Cer (d18:1/10:0) 2655983 2717474 3068942 2245269 3685342 3417381 43785352 7453770 10821114 Cer(d17:1/12:0)+H Cer(d29:1)+H Cer (d17:1/12:0) 2207505 1985339 2087242 2100964 2174159 2042473 33378548 4186857 7247456 Cer(d18:0/12:0)+H Cer(d30:0)+H Cer (d18:0/12:0) 5662075 4936509 5593158 4329811 4729504 5127001 91609934 12484096 19337026 Cer(d18:1/13:0)+H Cer(d31:1)+H Cer (d18:1/13:0) 2422764 2096279 2465362 2107474 2288184 2188704 43488083 6183718 9429952 Cer(d18:1/14:0)+H Cer(d32:1)+H Cer (d18:1/14:0) 11477831 12948297 13238862 20733298 19005688 24257680 552120875 103925661 151641948 Cer(d17:1/16:0)+H Cer(d33:1)+H Cer (d17:1/16:0) 7509 21555 78579 105088 78637 118214 3460630 595755 714338 Cer(d18:1/16:0)+H Cer(d34:1)+H Cer (d18:1/16:0) 1117353 955878 661319 1287571 834189 1375069 105933055 20713069 12389874 Cer(d18:2/16:0)+H Cer(d34:2)+H Cer (d18:2/16:0) 52597 95208 87456 722863 663076 1096538 8685089 2242095 4531503 Cer(d18:1/18:0)+H Cer(d36:1)+H Cer (d18:1/18:0) 0 0 0 0 0 0 0 0 0 Cer(d18:2/18:0)+H Cer(d36:2)+H Cer (d18:2/18:0) 0 0 0 132962 135786 231728 1894280 654766 816443 Cer(d18:2/22:0)+H Cer(d40:2)+H Cer (d18:2/22:0) 0 0 0 30277 18349 77779 3095047 813500 480540 Cer(d18:1/24:1)+H Cer(d42:2)+H Cer (d18:1/24:1) 8852 7438 10947 29671 40745 44239 14047924 4203440 659553 Cer(d18:2/24:0)+H Cer(d42:2)+H Cer (d18:2/24:0) 0 0 0 6450 32143 62391 16020443 3580326 1286726 Cer(d18:2/24:1)+H Cer(d42:3)+H Cer (d18:2/24:1) 0 0 155166 692323 276902 427271 21410849 2070555 2387340 CerG1(d18:1/16:0)+H CerG1(d34:1)+H CerG1 (d18:1/16:0) 698553 626375 657261 1463831 1176889 1258903 82287509 18156168 8437858 CerG1(d18:2/16:0)+H CerG1(d34:2)+H CerG1 (d18:2/16:0) 3242 3156 11881 483819 412033 377232 4663727 1388424 1738013 CerG1(d42:2)+H CerG1(d42:2)+H CerG1 (d42:2) 19156 38663 63825 199891 124949 159067 23002018 6801232 2282490 CerG1(d42:3)+H CerG1(d42:3)+H CerG1 (d42:3) 8267 28320 19495 312700 408677 349795 8310956 2537848 2515903 CerG2(d42:2)+H CerG2(d42:2)+H CerG2 (d42:2) 194539 104065 132010 164952 0 52049 4688460 1084666 642286 CerG3(d34:1)+H CerG3(d34:1)+H CerG3 (d34:1) 0 0 0 0 0 0 6648833 1077241 342845 CL(14:0/14:0/14:0/14:0)−H CL(56:0)−H CL (14:0/14:0/14:0/14:0) 82694 93825 71653 89390 81669 186557 281420 135313 346310 CL(18:2/14:0/14:0/14:0)−H CL(60:2)−H CL (18:2/14:0/14:0/14:0) 2113997 2158943 2979313 1583175 1872591 2024747 49191055 6044383 13647980 CL(63:3)−H CL(63:3)−H CL (63:3) 26567573 21638964 23018821 22393188 15475284 19590970 400846638 64364027 87152106 cPA(18:0)−H cPA(18:0)−H cPA (18:0) 0 0 0 0 0 0 0 0 0 DG(9:0/9:0)+NH4 DG(18:0)+NH4 DG (9:0/9:0) 220351 708397 661717 384894 2224405 1359115 3427027 4147519 7516632 DG(10:0/10:0)+NH4 DG(20:0)+NH4 DG (10:0/10:0) 71305 204318 238931 163071 549574 429392 1582819 1280889 2030563 DG(16:0/14:0)+NH4 DG(30:0)+NH4 DG (16:0/14:0) 98618 116865 122307 190236 29748 75232 12666456 10303377 662173 DG(16:0/16:0)+NH4 DG(32:0)+NH4 DG (16:0/16:0) 514614 516721 656759 1139209 275352 405462 344533948 281069758 2244319 DG(18:0/16:0)+NH4 DG(34:0)+NH4 DG (18:0/16:0) 523401 401524 547006 1034357 749309 472075 282519224 197608752 2857014 DG(16:0/18:1)+NH4 DG(34:1)+NH4 DG (16:0/18:1) 503615 210946 434667 610589 252986 290973 32916503 10441702 664591 DG(16:0/18:2)+NH4 DG(34:2)+NH4 DG (16:0/18:2) 459485 142139 292571 374868 117960 263493 10967709 3507411 498989 DG(16:1/18:1)+NH4 DG(34:2)+NH4 DG (16:1/18:1) 116274 14653 51648 244903 80962 113728 4036728 690883 230487 DG(18:0/18:0)+NH4 DG(36:0)+NH4 DG (18:0/18:0) 423894 417786 374555 362393 534468 357479 36801516 21585066 1702063 DG(18:0/18:1)+NH4 DG(36:1)+NH4 DG (18:0/18:1) 178324 112775 162706 212795 145109 187325 15156412 3941484 458267 DG(18:1/18:1)+NH4 DG(36:2)+NH4 DG (18:1/18:1) 920441 325775 574502 836183 394846 392394 32608125 11438424 1054671 DG(18:0/20:4)+NH4 DG(38:4)+NH4 DG (18:0/20:4) 7822 18131 84842 797163 56090 66050 21574088 4067784 106538 LPA(16:0)−H LPA(16:0)−H LPA (16:0) 0 0 0 67179 98416 73714 313125 111830 377480 LPA(18:0)−H LPA(18:0)−H LPA (18:0) 0 0 0 45473 25422 17533 0 0 0 LPC(12:0)+H LPC(12:0)+H LPC (12:0) 23790298 22254886 24392408 29863151 27665994 29303338 361686129 44332937 75970404 LPC(14:0)+H LPC(14:0)+H LPC (14:0) 258413 269648 257370 640244 613158 604231 8167030 1968034 2947532 LPC(15:0)+H LPC(15:0)+H LPC (15:0) 0 0 0 145644 162622 131006 945377 287920 557726 LPC(16:0)+H LPC(16:0)+H LPC (16:0) 511142 1092870 1012735 11212410 1799189 12355716 17922295 4817545 7379930 LPC(16:0e)+H LPC(16:0e)+H LPC (16:0e) 0 0 0 874804 908642 859413 7751597 2571194 4345836 LPC(16:0p)+H LPC(16:0p)+H LPC (16:0p) 0 0 0 392879 421352 451399 2760657 909709 1887498 LPC(16:1)+H LPC(16:1)+H LPC (16:1) 19507 33259 27441 549700 675184 315464 4116434 983238 1243586 LPC(17:0)+H LPC(17:0)+H LPC (17:0) 0 0 0 346485 295634 350623 2818005 786339 1280303 LPC(17:1)+H LPC(17:1)+H LPC (17:1) 231456 223932 251852 184051 244014 283861 2109653 63059 722448 LPC(18:0)+H LPC(18:0)+H LPC (18:0) 19387 50326 49929 1201301 892073 924000 9518868 2775978 4052148 LPC(18:0e)+H LPC(18:0e)+H LPC (18:0e) 15738 5452 26816 817225 668857 717703 6971758 2424788 3234886 LPC(18:0p)+H LPC(18:0p)+H LPC (18:0p) 0 0 0 227445 197809 273952 2086704 421383 1034629 LPC(18:1)+H LPC(18:1)+H LPC (18:1) 78091 682864 127626 721046 4981691 5413606 6909206 1415971 2577564 LPC(18:1p)+H LPC(18:1p)+H LPC (18:1p) 0 0 0 67857 74595 66462 587746 39423 164326 LPC(18:3)+H LPC(18:3)+H LPC (18:3) 13452 19986 26017 557398 539676 653872 3604766 831154 2385132 LPC(19:0)+H LPC(19:0)+H LPC (19:0) 0 0 0 57278 36508 56391 170840 127841 228556 LPC(19:1)+H LPC(19:1)+H LPC (19:1) 0 0 0 162478 53902 73923 1910635 138093 313977 LPC(20:0)+H LPC(20:0)+H LPC (20:0) 0 0 0 293411 211624 240786 2453147 715073 743929 LPC(20:0e)+H LPC(20:0e)+H LPC (20:0e) 0 0 0 234902 111226 78719 1168978 566868 429543 LPC(20:1)+H LPC(20:1)+H LPC (20:1) 0 0 0 335575 286950 340239 3264208 819246 1361028 LPC(20:2)+H LPC(20:2)+H LPC (20:2) 0 0 0 36382 13892 29190 168153 59093 171380 LPC(20:3)+H LPC(20:3)+H LPC (20:3) 0 0 0 328124 309797 384235 2021632 745731 1282454 LPC(20:4)+H LPC(20:4)+H LPC (20:4) 34037 58518 13333 338945 247493 292033 1318615 238225 417465 LPC(22:0)+H LPC(22:0)+H LPC (22:0) 11590 15703 64811 223020 442232 167871 2068227 245694 376881 LPC(22:3)+H LPC(22:3)+H LPC (22:3) 0 0 0 0 0 0 0 0 0 LPC(22:4)+H LPC(22:4)+H LPC (22:4) 0 0 0 80883 49136 74257 232824 62682 142827 LPC(22:5)+H LPC(22:5)+H LPC (22:5) 65136 81601 116317 250836 124532 197416 1004195 180428 615367 LPC(22:6)+H LPC(22:6)+H LPC (22:6) 18278 57941 24093 200822 131690 137944 668379 126365 210287 LPC(24:0)+H LPC(24:0)+H LPC (24:0) 0 0 0 295991 79870 102461 4693934 832912 215834 LPC(24:1)+H LPC(24:1)+H LPC (24:1) 31659 31216 41679 173287 174716 123822 1326615 233447 479517 LPC(26:1)+H LPC(26:1)+H LPC (26:1) 0 0 0 549956 257896 326456 3384573 828026 966603 LPC(28:0)+H LPC(28:0)+H LPC (28:0) 157867 164827 158659 277434 285209 257965 4174619 532864 792395 LPE(16:0p)−H LPE(16:0p)−H LPE (16:0p) 0 0 0 305679 283786 221726 2656494 966481 1258679 LPE(18:0)−H LPE(18:0)−H LPE (18:0) 0 0 0 94595 80165 48211 587544 266583 302159 LPE(20:1)−H LPE(20:1)−H LPE (20:1) 0 0 0 0 0 0 0 0 0 LPE(20:4)−H LPE(20:4)−H LPE (20:4) 0 0 0 109524 0 227902 686252 143917 92179 LPG(14:0)−H LPG(14:0)−H LPG (14:0) 841382 533465 723427 781822 969793 697483 9507672 1709038 1682271 LPG(16:0)−H LPG(16:0)−H LPG (16:0) 0 0 0 0 0 0 0 0 0 LPG(18:0)−H LPG(18:0)−H LPG (18:0) 0 0 0 0 0 0 0 0 0 LPI(16:0)−H LPI(16:0)−H LPI (16:0) 0 0 0 0 0 0 0 0 0 LPI(18:0)−H LPI(18:0)−H LPI (18:0) 0 0 0 181523 120996 114373 922878 249061 286788 LPI(18:1)−H LPI(18:1)−H LPI (18:1) 0 0 0 41923 58531 37030 45212 29766 77178 MG(14:0)+H MG(14:0)+H MG (14:0) 80142 261874 286521 242666 1084836 793557 1650270 2004628 3872438 MG(16:0)+H MG(16:0)+H MG (16:0) 12869069 31337664 31311812 34428216 112543180 89476091 302124878 207870963 391306257 MG(18:0)+H MG(18:0)+H MG (18:0) 26759010 56344973 50203262 58402624 149507750 119903599 569548694 299981609 543660516 MG(18:1)+H MG(18:1)+H MG (18:1) 84627 419296 473167 329588 1072455 1095516 2286684 2207664 4669714 MG(18:2)+H MG(18:2)+H MG (18:2) 1228472 3913705 4429676 2302455 9738060 7108632 23436433 14762001 40048238 MG(20:0)+H MG(20:0)+H MG (20:0) 159813 369824 444858 417350 1360358 985683 5947641 4715563 5555721 PA(16:0/18:1)−H PA(34:1)−H PA (16:0/18:1) 0 0 0 128304 44768 22112 11676449 3075195 822160 PA(18:0/18:1)−H PA(36:1)−H PA (18:0/18:1) 0 0 0 0 0 0 5255963 836174 41319 PA(18:1/18:1)−H PA(36:2)−H PA (18:1/18:1) 0 0 0 24916 6261 18636 495065 203516 31337 PA(18:0/20:3)−H PA(38:3)−H PA (18:0/20:3) 0 0 0 0 0 0 0 0 0 PA(18:0/20:4)−H PA(38:4)−H PA (18:0/20:4) 0 0 0 116156 236214 150452 3350436 1066561 462363 PC(16:1)+H PC(16:1)+H PC (16:1) 19591 5480 35757 0 0 0 830071 129709 424885 PC(19:1)+H PC(19:1)+H PC (19:1) 66872 44171 63718 70629 48755 50862 737794 28089 480361 PC(19:3)+H PC(19:3)+H PC (19:3) 0 0 0 131408 143675 157187 406932 200393 346421 PC(22:0)+H PC(22:0)+H PC (22:0) 1209573 1094999 1354462 1437283 1984186 2284747 22643890 5455915 10269555 PC(23:0)+H PC(23:0)+H PC (23:0) 5339351 4669007 4487087 4517013 5053785 5620807 98412130 14078728 24316430 PC(14:0e/10:1)+H PC(24:1e)+H PC (14:0e/10:1) 18927 34312 17817 254420 175844 149650 397945 331104 495352 PC(25:0)+H PC(25:0)+H PC (25:0) 4795944 4771963 4689231 4646389 5384415 5397486 82455880 14723232 24993078 PC(26:0)+H PC(26:0)+H PC (26:0) 8275985 9665322 9366029 10007300 10956431 11269836 178564980 31653172 51208899 PC(28:0)+H PC(28:0)+H PC (28:0) 1106432 1564248 1283876 10343330 9318637 10191677 120894036 36202735 40883521 PC(28:1)+H PC(28:1)+H PC (28:1) 0 0 0 99913 237367 276974 1513235 845586 744729 PC(29:0)+H PC(29:0)+H PC (29:0) 97319 156901 123794 1855491 1088262 1528313 26081981 8107306 8222932 PC(29:0e)+H PC(29:0e)+H PC (29:0e) 0 0 0 710799 54443 105836 13485470 4110747 769984 PC(11:0/18:1)+H PC(29:1)+H PC (11:0/18:1) 0 0 0 437930 287908 436551 11237279 4296388 3999681 PC(29:1)+H PC(29:1)+H PC (29:1) 62112 48118 51039 835680 638711 785531 18447079 6478900 7145525 PC(29:2)+H PC(29:2)+H PC (29:2) 0 0 0 80540 44239 15226 691827 139225 281986 PC(30:0)+H PC(30:0)+H PC (16:0/14:0) 4602771 5817623 5767028 79234042 32584150 42966990 1508181733 424951699 322438613 PC(30:0e)+H PC(30:0e)+H PC (30:0e) 304701 316988 226846 3779659 1251994 1715938 118766002 26689414 15498310 PC(14:0p/16:0)+H PC(30:0p)+H PC (14:0p/16:0) 93264 143555 110028 2345472 971311 1283197 52865186 16180389 10403201 PC(30:1)+H PC(30:1)+H PC (16:1/14:0) 407718 849085 1082984 10532736 9075411 11430108 102121238 32513960 45150121 PC(30:1e)+H PC(30:1e)+H PC (30:1e) 0 0 0 194714 44585 30466 538629 133688 391370 PC(30:2)+H PC(30:2)+H PC (30:2) 0 0 0 91216 72114 11601 100994 82363 99437 PC(30:3)+H PC(30:3)+H PC (30:3) 0 0 0 411483 241471 318855 3584986 979753 984458 PC(31:0)+H PC(31:0)+H PC (31:0) 562500 627388 559937 7354254 3551647 4512756 208041413 47825353 32844338 PC(31:0e)+H PC(31:0e)+H PC (31:0e) 0 0 0 49923 88484 128105 9698835 2094762 514492 PC(31:0p)+H PC(31:0p)+H PC (31:0p) 18256 28763 21665 444680 169613 327796 21283193 6617157 3517941 PC(31:1)+H PC(31:1)+H PC (31:1) 593255 949941 862657 6727970 6636680 4282044 17179788 6946787 15305665 PC(31:2)+H PC(31:2)+H PC (31:2) 243432 226001 203058 2400815 2395224 2729234 29484643 9514034 13869594 PC(31:3)+H PC(31:3)+H PC (31:3) 0 0 0 55491 101513 122586 960142 388584 807060 PC(32:0)+H PC(32:0)+H PC (16:0/16:0) 4452214 2889246 2375948 41137504 10567863 16394058 2087207816 347790235 169800028 PC(32:0e)+H PC(32:0e)+H PC (32:0e) 307077 147749 118830 1737991 483328 487339 139262430 19947233 9190125 PC(32:1)+H PC(32:1)+H PC (16:0/16:1) 14353042 28328769 26110626 529609443 433380858 542241915 5381706408 2063475962 3055296955 PC(32:1e)+H PC(32:1e)+H PC (16:0e/16:1) 1078010 1712709 1981262 25413205 6266129 24022660 345203508 106814263 136122307 PC(14:0p/18:1)+H PC(32:1p)+H PC (14:0p/18:1) 583540 789904 785394 2906868 2478844 3294616 27864431 11846874 15056673 PC(16:1/16:1)+H PC(32:2)+H PC (16:1/16:1) 0 0 0 628969 185957 1198006 6309128 1354212 3441281 PC(18:1/14:1)+H PC(32:2)+H PC (18:1/14:1) 235289 894714 789383 5724137 6037716 11659556 54210287 22696729 44333826 PC(21:1/11:1)+H PC(32:2)+H PC (21:1/11:1) 265285 403424 382575 4643474 3896380 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1155065 105092248 26409680 9652776 PC(34:3p)+H PC(34:3p)+H PC (34:3p) 87579 58778 12971 45418 35989 26470 6555518 212250 1794458 PC(34:4)+H PC(34:4)+H PC (34:4) 421603 1081928 1026392 24732541 17463581 24723821 242010300 126604844 126424875 PC(34:4p)+H PC(34:4p)+H PC (34:4p) 0 0 0 192902 202640 230415 556467 317251 716708 PC(35:0)+H PC(35:0)+H PC (35:0) 0 0 0 196324 9486 61320 19014704 5747836 2095895 PC(35:0p)+H PC(35:0p)+H PC (35:0p) 0 0 0 418255 354606 853138 14203794 4259540 3307349 PC(19:1/16:0)+H PC(35:1)+H PC (19:1/16:0) 3133288 3555178 3893050 13215816 9084072 11886536 260862746 89727407 68046608 PC(17:0/18:1)+H PC(35:1)+H PC (17:0/18:1) 2782400 1047864 4954808 5958611 5798727 8972067 95375582 34107661 44071513 PC(35:1p)+H PC(35:1p)+H PC (35:1p) 139966 33374 127542 369383 214242 469772 4355549 1415727 2022928 PC(19:1/16:1)+H PC(35:2)+H PC (19:1/16:1) 747200 2278320 1495286 7672831 6006169 6978198 60291353 21889342 31838641 PC(24:1/11:1)+H PC(35:2)+H PC (24:1/11:1) 1292254 3034693 3387131 8385675 9318449 11591575 91610347 25851589 45034606 PC(35:2)+H PC(35:2)+H PC (35:2) 141960 130151 141313 305530 224042 278553 9095747 1881723 1732148 PC(35:2p)+H PC(35:2p)+H PC (35:2p) 0 0 0 134779 90719 68046 869637 47608 217366 PC(35:3)+H PC(35:3)+H PC (35:3) 35879 134764 136385 765021 709713 883674 5599691 1713948 3176495 PC(35:4)+H PC(35:4)+H PC (35:4) 806222 2113943 1934974 25307595 24489607 30362405 530262258 185381102 208972036 PC(35:5)+H PC(35:5)+H PC (35:5) 612374 965134 858495 11032586 11108646 14167399 133092399 42870576 69639718 PC(35:6)+H PC(35:6)+H PC (35:6) 69916 137340 135718 3344582 2825816 8996555 36094208 14513254 58654585 PC(36:1)+H PC(36:1)+H PC (18:0/18:1) 14354613 23074082 21222962 106232599 52856440 79634742 2676365291 877117929 526965795 PC(36:1e)+H PC(36:1e)+H PC (36:1e) 142639 268436 289657 2872654 942616 1605243 135322709 35375263 16657216 PC(20:1p/16:0)+H PC(36:1p)+H PC (20:1p/16:0) 1149625 1349211 1178245 5773630 4422143 6031619 82452717 31737314 35955504 PC(36:2)+H PC(36:2)+H PC (18:1/18:1) 12347664 21045862 22975327 147346375 137578739 174502375 1425739272 536108764 733903650 PC(36:2e)+H PC(36:2e)+H PC (36:2e) 935383 379451 316803 1002762 962875 1250333 48894919 15312247 7197236 PC(18:2p/18:0)+H PC(36:2p)+H PC (18:2p/18:0) 37748 143970 116727 830809 986409 1259345 4209807 2265577 4214776 PC(36:2p)+H PC(36:2p)+H PC (36:2p) 351335 638617 847840 3237954 2583674 3249846 46290306 11480192 13324388 PC(36:3)+H PC(36:3)+H PC (16:0/20:3) 1690448 3191987 3015638 17836489 15541315 21796250 143920100 51635572 88458918 PC(18:2p/18:1)+H PC(36:3p)+H PC (18:2p/18:1) 691197 1451070 1251471 6962543 6461936 8420711 68087446 23446875 42920697 PC(36:4)+H PC(36:4)+H PC (16:0/20:4) 9394271 20097905 19564301 152665192 129101686 165501686 1209501671 477832927 789596316 PC(36:4e)+H PC(36:4e)+H PC (36:4e) 219433 254367 351759 1569224 1206603 1500749 34148260 9926038 8671422 PC(36:4p)+H PC(36:4p)+H PC (36:4p) 9437 61315 46368 342578 341984 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2408340 8872549 8657668 10811380 55079478 19577905 31892380 PC(40:7)+H PC(40:7)+H PC (40:7) 57115 139379 162919 475980 579759 704352 3751728 1296351 2219531 PC(40:7p)+H PC(40:7p)+H PC (40:7p) 373074 864902 783967 3833467 3640745 4767614 19587132 8605721 14529135 PC(40:8)+H PC(40:8)+H PC (40:8) 18393 32255 17394 308734 469715 469742 866539 1113470 606524 PC(40:9)+H PC(40:9)+H PC (40:9) 250728 494056 437201 118333 140654 2212508 12556276 1169429 76071 PC(41:5)+H PC(41:5)+H PC (41:5) 5389 48601 99717 223947 184873 279181 465955 611325 541978 PC(41:6)+H PC(41:6)+H PC (41:6) 40175 177451 194621 484153 300102 320600 1584945 1116418 796995 PC(41:7)+H PC(41:7)+H PC (41:7) 16601 68343 127215 327811 347996 297400 1446872 574323 460063 PC(42:1)+H PC(42:1)+H PC (42:1) 0 0 0 104336 60000 12157 12214976 5859261 1589612 PC(42:10)+H PC(42:10)+H PC (42:10) 75400 91965 102256 324751 244027 371237 2711854 597427 1111573 PC(42:2)+H PC(42:2)+H PC (42:2) 8057 9377 27272 775882 666964 809519 27301630 12167560 7553855 PC(42:3p)+H PC(42:3p)+H PC (42:3p) 0 0 0 71738 21793 55290 688883 516737 225527 PC(42:4p)+H PC(42:4p)+H PC (42:4p) 43717 215862 205533 539284 390398 485673 4705712 1897518 1503785 PC(42:6)+H PC(42:6)+H PC (42:6) 63862 177219 265448 827589 526664 1053065 2148818 2324189 2943310 PC(42:6e)+H PC(42:6e)+H PC (42:6e) 922337 712128 557875 1133591 1180121 2608847 11602850 2922275 2228431 PC(42:7)+H PC(42:7)+H PC (42:7) 148736 288245 310230 826301 887737 1177085 6471063 2309885 8580354 PC(42:7p)+H PC(42:7p)+H PC (42:7p) 0 0 0 0 0 0 0 0 0 PC(42:8)+H PC(42:8)+H PC (42:8) 13084 44531 64376 363119 276813 535165 1175356 669385 1410597 PC(42:9)+H PC(42:9)+H PC (42:9) 0 0 0 529808 97790 425505 531716 253268 437388 PC(44:1)+H PC(44:1)+H PC (44:1) 0 0 0 0 0 0 7277079 3453354 132204 PC(44:2)+H PC(44:2)+H PC (44:2) 0 0 0 216407 176688 339912 13242236 7068657 2775961 PE(12:0/14:0)−H PE(26:0)−H PE (12:0/14:0) 835307 539707 679586 252112 998694 279666 9383820 1583508 3187973 PE(26:0)−H PE(26:0)−H PE (26:0) 11173607 10466733 11364016 15551617 16650782 11779956 197251294 35467547 40448099 PE(32:0p)−H PE(32:0p)−H PE (32:0p) 0 0 0 0 0 0 0 0 0 PE(16:0/16:1)−H PE(32:1)−H PE (16:0/16:1) 94951 37124 17572 1065144 660921 558596 10308810 3058037 3321271 PE(16:0p/16:1)−H PE(32:1p)−H PE (16:0p/16:1) 0 0 0 290319 201459 198653 4399204 1633435 1276485 PE(16:1/16:1)−H PE(32:2)−H PE (16:1/16:1) 0 0 0 0 0 0 0 0 0 PE(17:1/16:0)−H PE(33:1)−H PE (17:1/16:0) 0 0 0 23380 36474 78191 1133848 212068 1105410 PE(33:1p)−H PE(33:1p)−H PE (33:1p) 0 0 0 0 0 0 318858 323710 144975 PE(16:0/18:1)−H PE(34:1)−H PE (16:0/18:1) 206504 334455 310634 5617754 2995755 3694359 113349997 32998453 23003406 PE(16:0p/18:1)−H PE(34:1p)−H PE (16:0p/18:1) 142407 254608 224241 2690549 1668689 2211092 79765754 24986491 15759256 PE(16:1/18:1)−H PE(34:2)−H PE (16:1/18:1) 30506 58033 40849 1587297 1142572 1186081 15456377 3769218 5161718 PE(18:1p/16:1)−H PE(34:2p)−H PE (18:1p/16:1) 0 0 0 139831 144147 165536 1782364 543231 860529 PE(16:0p/18:2)−H PE(34:2p)−H PE (16:0p/18:2) 0 0 0 33554 16533 15392 1223756 487117 320193 PE(16:1/18:2)−H PE(34:3)−H PE (16:1/18:2) 0 0 0 0 0 0 0 0 0 PE(16:0p/18:3)−H PE(34:3p)−H PE (16:0p/18:3) 0 0 0 40999 24227 19109 273614 165267 188813 PE(17:0/18:1)−H PE(35:1)−H PE (17:0/18:1) 2209 20007 14312 262875 109011 142165 8120137 2433136 1169734 PE(17:1/18:1)−H PE(35:2)−H PE (17:1/18:1) 0 0 0 586753 433919 397708 3719476 1400061 1829147 PE(18:0/18:1)−H PE(36:1)−H PE (18:0/18:1) 191345 351458 310031 3036954 1174787 1895087 152971684 36247881 13477931 PE(36:1)−H PE(36:1)−H PE (36:1) 0 0 0 500440 99027 104474 374526 718588 387728 PE(18:0p/18:1)−H PE(36:1p)−H PE (18:0p/18:1) 41360 86530 51250 776959 325626 527579 54566522 14237459 4369348 PE(18:1/18:1)−H PE(36:2)−H PE (18:1/18:1) 79739 204486 160651 2758963 2118188 2188103 45653047 11981057 12619870 PE(18:1p/18:1)−H PE(36:2p)−H PE (18:1p/18:1) 34733 87099 85100 1597350 1410722 1699456 24484446 8227246 9609538 PE(16:0/20:3)−H PE(36:3)−H PE (16:0/20:3) 0 0 0 328447 303902 232609 4341687 1797352 1447398 PE(18:1/18:2)−H PE(36:3)−H PE (18:1/18:2) 7100 46368 35709 1490445 1196964 1111499 11136679 3198549 4513279 PE(16:0p/20:3)−H PE(36:3p)−H PE (16:0p/20:3) 19304 44949 42032 1268423 870438 1020219 20589211 5949373 6328041 PE(36:3p)−H PE(36:3p)−H PE (36:3p) 0 0 0 572319 729990 576361 6870467 2004004 3275495 PE(16:0/20:4)−H PE(36:4)−H PE (16:0/20:4) 50380 119492 134119 4151507 3321396 3055142 30639960 11435475 15410484 PE(16:1/20:3)−H PE(36:4)−H PE (16:1/20:3) 0 0 0 0 0 0 0 0 0 PE(16:0p/20:4)−H PE(36:4p)−H PE (16:0p/20:4) 449635 942082 748609 28906215 21933749 21043073 274931065 84010230 109932723 PE(16:0/20:5)−H PE(36:5)−H PE (16:0/20:5) 0 0 0 126255 112308 92195 810145 276599 407791 PE(16:1/20:4)−H PE(36:5)−H PE (16:1/20:4) 0 0 0 68330 37926 48663 31917 65750 75139 PE(18:0/20:2)−H PE(38:2)−H PE (18:0/20:2) 0 0 0 232491 69821 117203 7924892 1739209 1172649 PE(16:0p/22:2)−H PE(38:2p)−H PE (16:0p/22:2) 9179 3624 8871 82701 65923 96853 3443986 3591328 2518852 PE(18:0/20:3)−H PE(38:3)−H PE (18:0/20:3) 18783 42202 34658 1044458 449921 608800 28252412 6814471 4377476 PE(18:1/20:2)−H PE(38:3)−H PE (18:1/20:2) 0 0 0 610637 511182 451475 6939566 2406010 2393191 PE(16:0p/22:3)−H PE(38:3p)−H PE (16:0p/22:3) 39875 90868 63938 1387337 930503 1070084 34481880 9303204 7516530 PE(38:3p)−H PE(38:3p)−H PE (38:3p) 19051 29963 30405 630524 301635 387666 19467240 5106644 3168267 PE(18:0/20:4)−H PE(38:4)−H PE (18:0/20:4) 405290 885331 777260 19075195 14174694 15495000 267184606 74663348 76291857 PE(18:1/20:3)−H PE(38:4)−H PE (18:1/20:3) 0 0 0 2108646 2060060 1889938 35755830 5695213 7573573 PE(38:4e)−H PE(38:4e)−H PE (38:4e) 12581 44768 48122 499125 427049 496021 8606627 2422792 2636873 PE(16:0p/22:4)−H PE(38:4p)−H PE (16:0p/22:4) 151270 294349 257827 6786173 5264637 5345856 106540361 28801033 33997114 PE(18:0p/20:4)−H PE(38:4p)−H PE (18:0p/20:4) 479623 952310 840565 17498934 13054619 14200003 262698265 84197752 88532563 PE(38:4p)−H PE(38:4p)−H PE (38:4p) 0 0 0 490390 1202551 774262 3944790 2024931 2731247 PE(18:0/20:5)−H PE(38:5)−H PE (18:0/20:5) 0 0 0 1107104 755449 917099 9752576 2991200 3408702 PE(18:1/20:4)−H PE(38:5)−H PE (18:1/20:4) 123816 228908 183672 6641324 4927459 5540034 54661096 16512000 26062282 PE(16:0p/22:5)−H PE(38:5p)−H PE (16:0p/22:5) 50814 121783 97024 3372903 2325193 2416725 34245607 9331589 11576069 PE(18:1p/20:4)−H PE(38:5p)−H PE (18:1p/20:4) 381469 819881 630017 24437101 18622450 18857868 191478808 56117605 82006414 PE(16:0/22:6)−H PE(38:6)−H PE (16:0/22:6) 13771 54424 41714 2116853 1468262 1602887 16018589 4647496 6464006 PE(16:1/22:5)−H PE(38:6)−H PE (16:1/22:5) 0 0 0 0 0 0 0 0 0 PE(18:0/22:3)−H PE(40:3)−H PE (18:0/22:3) 0 0 0 272443 88099 177541 10417001 2484548 1206377 PE(18:0p/22:3)−H PE(40:3p)−H PE (18:0p/22:3) 24540 63366 92585 455346 212622 292005 18035611 4014990 2343446 PE(18:0/22:4)−H PE(40:4)−H PE (18:0/22:4) 35382 121013 91387 2004137 1562228 1803772 39779114 12796498 10745717 PE(18:0p/22:4)−H PE(40:4p)−H PE (18:0p/22:4) 61500 206627 205977 2758411 1944484 2289797 64276841 19859786 16876343 PE(40:4p)−H PE(40:4p)−H PE (40:4p) 92698 59537 50475 548298 368519 433752 9157475 2145907 2592482 PE(18:0/22:5)−H PE(40:5)−H PE (18:0/22:5) 45634 118396 95194 3869623 2888128 2869796 37421032 13739126 12316101 PE(18:1/22:4)−H PE(40:5)−H PE (18:1/22:4) 0 0 0 1569018 1627205 1278158 14695125 4102260 5804913 PE(18:0p/22:5)−H PE(40:5p)−H PE (18:0p/22:5) 157299 337815 277143 6790956 4972075 5471298 91297210 28760281 31407034 PE(40:5p)−H PE(40:5p)−H PE (40:5p) 25753 108558 79567 2462095 2273855 2408565 29093596 8725776 11101220 PE(18:0/22:6)−H PE(40:6)−H PE (18:0/22:6) 59238 140868 117954 5238826 3569772 3883856 56312579 14746047 17878948 PE(18:1/22:5)−H PE(40:6)−H PE (18:1/22:5) 0 0 0 889236 633031 251098 3642796 2001033 2376216 PE(18:0p/22:6)−H PE(40:6p)−H PE (18:0p/22:6) 166678 345040 287739 8309820 5910984 6060502 103751941 30759033 30452499 PE(18:1p/22:5)−H PE(40:6p)−H PE (18:1p/22:5) 8409 53482 67277 2314717 1952777 2123023 17862011 5902815 9449441 PE(18:1/22:6)−H PE(40:7)−H PE (18:1/22:6) 11085 72340 28437 2185913 1607630 1761904 12967591 4420414 6910775 PE(18:1p/22:6)−H PE(40:7p)−H PE (18:1p/22:6) 32343 110093 93609 3689468 2948804 3075709 27896860 7085740 11040470 PEt(16:0/16:1)−H PEt(32:1)−H PEt (16:0/16:1) 0 0 0 128304 39382 35309 1107104 3401896 115566 PEt(32:4)−H PEt(32:4)−H PEt (32:4) 279069077 278343754 271228360 396595593 398286346 297179039 5018214562 759502356 1098284317 PEt(18:0/16:1)−H PEt(34:1)−H PEt (18:0/16:1) 0 0 0 0 0 0 5241098 871252 52438 PEt(18:2/18:2)−H PEt(36:4)−H PEt (18:2/18:2) 2500 12347 20658 116156 236214 150452 3350436 1066561 462363 PG(12:0/14:0)−H PG(26:0)−H PG (12:0/14:0) 2996776 3034456 3078805 3509108 3360390 3108790 52042151 7349663 12209703 PG(16:0/14:0)−H PG(30:0)−H PG (16:0/14:0) 331753 313756 323116 197723 174778 271719 6298537 620232 1265644 PG(16:0/16:1)−H PG(32:1)−H PG (16:0/16:1) 0 0 0 0 0 0 0 0 0 PG(17:1/16:0)−H PG(33:1)−H PG (17:1/16:0) 0 0 0 0 0 0 0 0 0 PG(16:0/18:1)−H PG(34:1)−H PG (16:0/18:1) 0 0 0 159437 16537 208936 411800 325227 455332 PG(16:1/18:1)−H PG(34:2)−H PG (16:1/18:1) 0 0 0 0 0 0 0 0 0 PG(17:0/18:1)−H PG(35:1)−H PG (17:0/18:1) 21746 37325 27360 430603 313435 339642 8614846 2313954 1858741 PG(17:1/18:1)−H PG(35:2)−H PG (17:1/18:1) 0 0 0 56595 37085 42525 582042 143033 236520 PG(18:0/18:1)−H PG(36:1)−H PG (18:0/18:1) 0 0 0 1016441 964046 1046676 6363266 2399116 4766762 PG(18:1/18:1)−H PG(36:2)−H PG (18:1/18:1) 0 0 0 163448 223055 139385 2448112 727509 2369852 PG(18:1/18:2)−H PG(36:3)−H PG (18:1/18:2) 0 0 0 12323 15255 16153 0 0 0 PG(20:1/18:1)−H PG(38:2)−H PG (20:1/18:1) 0 0 0 0 0 0 0 0 0 PG(18:1/20:2)−H PG(38:3)−H PG (18:1/20:2) 21801 25235 21324 151709 71063 68036 7717501 1554686 570911 PG(18:0/20:4)−H PG(38:4)−H PG (18:0/20:4) 0 0 0 0 0 0 0 0 0 PG(18:1/20:3)−H PG(38:4)−H PG (18:1/20:3) 0 0 0 0 0 0 0 0 0 PG(18:1/20:4)−H PG(38:5)−H PG (18:1/20:4) 0 0 0 0 0 0 0 0 0 PG(16:0/22:6)−H PG(38:6)−H PG (16:0/22:6) 0 0 0 97613 99608 76825 276833 20025 25349 PG(18:1/22:4)−H PG(40:5)−H PG (18:1/22:4) 0 0 0 18159 12885 17817 0 0 0 PG(18:0/22:6)−H PG(40:6)−H PG (18:0/22:6) 0 0 0 80771 72399 66510 0 0 0 PG(18:1/22:5)−H PG(40:6)−H PG (18:1/22:5) 0 0 0 18976 6070 8874 0 0 0 PG(18:1/22:6)−H PG(40:7)−H PG (18:1/22:6) 0 0 0 862230 778194 782003 973979 347757 591283 PG(20:1/22:6)−H PG(42:7)−H PG (20:1/22:6) 0 0 0 0 0 0 0 0 0 PG(20:2/22:6)−H PG(42:8)−H PG (20:2/22:6) 0 0 0 0 0 0 0 0 0 PI(16:0/18:1)−H PI(34:1)−H PI (16:0/18:1) 207265 403469 326785 1666070 5377187 6216683 107496050 31734088 25126566 PI(16:1/18:1)−H PI(34:2)−H PI (16:1/18:1) 0 0 0 34339 24300 11368 59477 76990 129444 PI(18:0/18:1)−H PI(36:1)−H PI (18:0/18:1) 123836 155434 144386 2550655 852089 1197680 73101178 13569781 5409439 PI(16:0/20:3)−H PI(36:3)−H PI (16:0/20:3) 0 0 0 125921 178738 111964 972536 313168 444576 PI(18:1/18:2)−H PI(36:3)−H PI (18:1/18:2) 0 0 0 166755 75972 152945 657662 167481 290916 PI(16:0/20:4)−H PI(36:4)−H PI (16:0/20:4) 0 0 0 150229 0 100424 0 684790 704467 PI(17:0/20:4)−H PI(37:4)−H PI (17:0/20:4) 0 0 0 94240 77828 80481 227158 182549 293712 PI(20:1/18:1)−H PI(38:2)−H PI (20:1/18:1) 0 0 0 0 0 0 278494 132307 81096 PI(18:0/20:3)−H PI(38:3)−H PI (18:0/20:3) 76367 100481 97880 2117265 837601 1015849 28117369 6105706 4678508 PI(18:1/20:3)−H PI(38:4)−H PI (18:1/20:3) 5237 31011 16173 593889 492634 465764 10496166 2294116 2055798 PI(18:0/20:5)−H PI(38:5)−H PI (18:0/20:5) 0 0 0 162798 119010 160884 781145 382314 467393 PI(18:1/20:4)−H PI(38:5)−H PI (18:1/20:4) 0 0 0 1066944 1133842 709902 440501 1267290 981722 PI(18:0/22:4)−H PI(40:4)−H PI (18:0/22:4) 0 0 0 938473 539919 655085 10271169 3056243 3723958 PMe(14:0/14:0)−H PMe(28:0)−H PMe (14:0/14:0) 197233 186704 197921 233689 185238 197160 3102192 415794 650827 PMe(34:5)−H PMe(34:5)−H PMe (34:5) 217296466 220166027 191306985 206143596 192082882 182843648 3509160915 489928236 692043430 PMe(42:6)−H PMe(42:6)−H PMe (42:6) 445198 687639 616907 9188019 3439530 4622705 307712685 55136066 24483243 PS(12:0/14:0)−H PS(26:0)−H PS (12:0/14:0) 1614543 1496858 1622028 2032182 1992144 1914011 28345507 3516088 6713480 PS(16:0/16:1)−H PS(32:1)−H PS (16:0/16:1) 0 0 0 709341 440595 1551648 4883070 1785540 2550206 PS(33:1)−H PS(33:1)−H PS (33:1) 0 0 0 0 0 0 0 0 0 PS(18:0/16:1)−H PS(34:1)−H PS (18:0/16:1) 97442 177311 158102 2907496 1967089 2337056 64986325 16745343 12735657 PS(34:3p)−H PS(34:3p)−H PS (34:3p) 0 0 0 0 0 0 0 0 0 PS(35:0)−H PS(35:0)−H PS (35:0) 538666 997297 827237 17896669 16069304 15753705 120092087 34487043 53222088 PS(17:0/18:1)−H PS(35:1)−H PS (17:0/18:1) 31744 72837 67051 1172966 1168309 741564 22190294 6860227 1750383 PS(35:1)−H PS(35:1)−H PS (35:1) 0 0 0 56732 40007 142128 1062434 396446 948516 PS(35:2)−H PS(35:2)−H PS (35:2) 0 0 0 0 0 0 0 0 0 PS(18:0/18:2)−H PS(36:2)−H PS (18:0/18:2) 159698 297725 309362 5530936 3866723 4266397 66482481 18498648 22120371 PS(16:0/20:3)−H PS(36:3)−H PS (16:0/20:3) 0 0 0 433637 394704 451184 3608732 959942 1466983 PS(18:1/18:2)−H PS(36:3)−H PS (18:1/18:2) 0 0 0 457286 369805 414584 3219733 837026 1521022 PS(36:3)−H PS(36:3)−H PS (36:3) 12858 39203 37556 695047 554855 475378 18794108 4205650 3460278 PS(36:3p)−H PS(36:3p)−H PS (36:3p) 5987 32847 28797 401345 273130 306407 12147615 3764508 2312891 PS(16:0/20:4)−H PS(36:4)−H PS (16:0/20:4) 0 0 0 504066 518995 539917 3728026 1291304 2254419 PS(36:4)−H PS(36:4)−H PS (36:4) 25147 57619 40780 1546353 1123863 1205590 22348538 5254145 5302937 PS(37:1)−H PS(37:1)−H PS (37:1) 103925 202624 279931 2153303 1878319 1896115 14650703 3433156 7796187 PS(37:2)−H PS(37:2)−H PS (37:2) 0 0 0 38551 6857 23932 93052 68361 202167 PS(38:1)−H PS(38:1)−H PS (38:1) 0 0 0 131682 38421 87348 9647588 1900465 606454 PS(20:1/18:1)−H PS(38:2)−H PS (20:1/18:1) 0 0 0 619467 710257 822693 11620755 2317125 3558461 PS(18:0/20:3)−H PS(38:3)−H PS (18:0/20:3) 124012 227219 216689 4604588 3285498 3016987 71377509 20263566 20164143 PS(38:3)−H PS(38:3)−H PS (38:3) 18158 50225 47308 526136 255058 382293 28584312 6181587 2638371 PS(18:0/20:4)−H PS(38:4)−H PS (18:0/20:4) 80422 337987 305279 3498645 2639132 2196641 124069072 19908644 24987487 PS(18:1/20:3)−H PS(38:4)−H PS (18:1/20:3) 0 0 0 493488 441954 460899 3498990 937986 1731247 PS(16:0/22:5)−H PS(38:5)−H PS (16:0/22:5) 0 0 0 1003868 974808 848464 6483253 1514751 3327651 PS(18:0/20:5)−H PS(38:5)−H PS (18:0/20:5) 0 0 0 538951 431797 506824 4234705 1134025 2139227 PS(18:1/20:4)−H PS(38:5)−H PS (18:1/20:4) 0 0 0 1170057 942290 972128 8853041 2651403 4753546 PS(38:5p)−H PS(38:5p)−H PS (38:5p) 0 0 0 236524 164874 161078 4083243 980936 1287805 PS(16:0/22:6)−H PS(38:6)−H PS (16:0/22:6) 0 0 0 270747 359955 311336 1601519 755752 1053010 PS(38:6)−H PS(38:6)−H PS (38:6) 1400 2242 1751 625536 497739 538392 6058304 1405830 2302998 PS(38:6p)−H PS(38:6p)−H PS (38:6p) 46150 115567 100964 4545355 3712660 3847072 44270610 12373809 21403878 PS(39:1)−H PS(39:1)−H PS (39:1) 632737 1169704 1237962 13169394 11288740 13799910 96013550 25615901 42391171 PS(39:2)−H PS(39:2)−H PS (39:2) 48913 180273 168408 1827523 1366200 1466328 9475552 2265026 4469531 PS(39:3)−H PS(39:3)−H PS (39:3) 455644 1035957 936332 8581795 6720518 7079635 36227939 11577047 21463136 PS(39:4)−H PS(39:4)−H PS (39:4) 0 0 0 325492 249540 390643 3228058 1330179 2173109 PS(18:1/22:1)−H PS(40:2)−H PS (18:1/22:1) 0 0 0 399045 278443 412582 12622421 3528113 3159688 PS(18:0/22:3)−H PS(40:3)−H PS (18:0/22:3) 0 0 0 515829 190865 326068 15123603 2782564 2036074 PS(18:0/22:4)−H PS(40:4)−H PS (18:0/22:4) 105924 249253 213426 5380454 4319323 4997892 74157592 23847958 25983626 PS(18:0/22:5)−H PS(40:5)−H PS (18:0/22:5) 146606 332309 312213 10408121 8221687 8462113 98727320 27994819 37323768 PS(18:1/22:5)−H PS(40:6)−H PS (18:1/22:5) 0 0 0 472766 500458 375232 3453673 872529 1990946 PS(20:3/20:3)−H PS(40:6)−H PS (20:3/20:3) 0 0 0 762938 497252 628108 10402954 3179957 2786238 PS(40:6)−H PS(40:6)−H PS (40:6) 61297 120647 131804 3380755 2766894 2842966 43140475 11633277 15731032 PS(40:6p)−H PS(40:6p)−H PS (40:6p) 4899 39528 36501 1247587 920284 1258763 17653104 5071904 7497451 PS(40:7)−H PS(40:7)−H PS (40:7) 30049 103106 84358 2473682 2240180 2439584 26615648 6819779 10425179 PS(40:7p)−H PS(40:7p)−H PS (40:7p) 36328 102896 92165 3598766 3152882 3094159 28421479 8287972 14217323 PS(40:8p)−H PS(40:8p)−H PS (40:8p) 11019 47088 43527 1889102 1678944 1718199 17592428 4535674 7409624 PS(41:3)−H PS(41:3)−H PS (41:3) 63894 168426 166946 1023016 990598 1006077 5369528 1270858 3264903 PS(41:6)−H PS(41:6)−H PS (41:6) 0 0 0 85844 62171 78130 235119 525658 227692 PS(18:1/24:0)−H PS(42:1)−H PS (18:1/24:0) 0 0 0 0 0 0 1225623 295963 0 PS(42:8)−H PS(42:8)−H PS (42:8) 0 0 0 1464832 1257884 1518317 14565124 3699847 5231179 PS(42:9)−H PS(42:9)−H PS (42:9) 18485 59321 66432 2183237 1799535 1710184 20608914 4278020 7010451 PS(43:5)−H PS(43:5)−H PS (43:5) 7144 78406 120590 473049 192901 447790 372283 437908 163301 SM(d30:1)+H SM(d30:1)+H SM (d30:1) 0 0 0 615719 631109 706314 3874423 1510201 2740728 SM(d31:1)+H SM(d31:1)+H SM (d31:1) 0 0 0 1347188 837142 1012924 14414899 2724618 3640860 SM(d32:0)+H SM(d32:0)+H SM (d32:0) 59798 147569 122434 869251 580700 773451 23835547 4601133 4964988 SM(d18:1/14:0)+H SM(d32:1)+H SM (d18:1/14:0) 1108812 1843673 1730073 13790596 10293325 38165 827380 38866734 48372637 SM(d32:2)+H SM(d32:2)+H SM (d32:2) 88181 199227 188339 1845386 1607297 1712799 12711829 2468275 4436539 SM(d33:0)+H SM(d33:0)+H SM (d33:0) 0 0 0 0 0 0 4282150 852481 648658 SM(d33:1)+H SM(d33:1)+H SM (d33:1) 1265735 1658083 1491116 8515714 5175910 6484024 214903255 41780873 34028177 SM(d33:2)+H SM(d33:2)+H SM (d33:2) 90044 19403 53726 76483 58515 35559 1172869 62959 120133 SM(d34:0)+H SM(d34:0)+H SM (d34:0) 836958 692120 449173 2178600 899902 1467732 253094120 34639587 13974017 SM(d18:1/16:0)+H SM(d34:1)+H SM (d18:1/16:0) 18307271 523327 596877 86186422 1574211 50388936 4274137129 761578752 379912703 SM(d34:1)+H SM(d34:1)+H SM (d34:1) 1307895 1582630 1278876 15109596 6342518 9158968 665606026 146205846 86089783 SM(d16:1/18:1)+H SM(d34:2)+H SM (d16:1/18:1) 25065 7050024 6809144 66462167 57496045 62349821 671063320 149729965 220490415 SM(d34:3)+H SM(d34:3)+H SM (d34:3) 0 0 0 105094 235189 302699 880943 341502 840518 SM(d34:4)+H SM(d34:4)+H SM (d34:4) 34521 134939 154759 794716 638889 656125 11690213 2568360 2945863 SM(d35:1)+H SM(d35:1)+H SM (d35:1) 247968 184095 114466 506334 214959 225096 39671655 6028091 1974718 SM(d35:2)+H SM(d35:2)+H SM (d35:2) 48150 106033 120968 1050795 937930 994361 11489940 2772515 4023233 SM(d35:4)+H SM(d35:4)+H SM (d35:4) 43594 79926 27139 491640 258966 304051 12156988 2319433 1850319 SM(d18:1/18:0)+H SM(d36:1)+H SM (d18:1/18:0) 629637 12300 195989 615028 111917 93344 2565988 220310 3411614 SM(d36:2)+H SM(d36:2)+H SM (d18:1/18:1) 1765732 3344235 3379071 21409555 5364100 7847110 303348283 92989524 115325271 SM(d36:4)+H SM(d36:4)+H SM (d36:4) 994807 1005077 839513 4586442 1678318 2342663 294109613 61473943 18141979 SM(d36:5)+H SM(d36:5)+H SM (d36:5) 297164 295012 319403 2163920 1717689 1990882 18367470 4400627 6902944 SM(d38:2)+H SM(d38:2)+H SM (d38:2) 54214 146906 297379 522298 328078 495458 6403489 3337412 2148728 SM(d39:7)+H SM(d39:7)+H SM (d39:7) 0 0 0 0 270310 884517 0 681309 1750601 SM(d40:1)+H SM(d40:1)+H SM (d40:1) 0 0 0 79805 23955 0 26547071 3398222 722860 SM(d40:2)+H SM(d40:2)+H SM (d40:2) 753188 561975 887099 893095 720769 778773 48584542 11488146 7168405 SM(d41:2)+H SM(d41:2)+H SM (d41:2) 215875 294435 350164 276787 129588 227992 32278155 6183741 2228561 SM(d18:1/24:1)+H SM(d42:2)+H SM (d18:1/24:1) 1625404 1629174 1821544 2188269 1410509 1368023 442748344 85798660 20143857 SM(d42:2)+H SM(d42:2)+H SM (d42:2) 1477469 2347652 2528121 4200414 3059142 3681665 360071978 93337240 34821089 SM(d22:0/20:3)+H SM(d42:3)+H SM (d22:0/20:3) 2310406 5232438 5683793 11679202 12661396 12795722 235300942 84914349 63611365 SM(d42:5)+H SM(d42:5)+H SM (d42:5) 30185 63739 132957 153193 60884 115125 6166808 2526148 1151755 SM(d43:3)+H SM(d43:3)+H SM (d43:3) 19195 107388 126659 210701 181102 363854 5998722 2459182 1694580 SM(d44:2)+H SM(d44:2)+H SM (d44:2) 0 0 0 155768 39339 27387 14665416 4883880 1036712 SM(d44:3)+H SM(d44:3)+H SM (d44:3) 232986 486935 384438 801404 996177 1334532 52172136 15175888 8646236 SM(d44:5)+H SM(d44:5)+H SM (d44:5) 98025 306566 328238 653603 714749 810959 2877078 1336496 1357844 SM(d44:6)+H SM(d44:6)+H SM (d44:6) 125004 342163 431832 873569 1222537 1100198 26141105 7759675 6006034 TG(8:0/8:0/8:0)+NH4 TG(24:0)+NH4 TG (8:0/8:0/8:0) 3965811 797256 1476350 1896834 2535680 14707218 60690014 23530427 18048952 TG(8:0/8:0/10:0)+NH4 TG(26:0)+NH4 TG (8:0/8:0/10:0) 6559548 573706 2153442 2932146 1997854 16154403 70751794 36506807 12530641 TG(8:0/10:0/10:0)+NH4 TG(28:0)+NH4 TG (8:0/10:0/10:0) 2342790 432826 1314501 3392028 941790 8740681 77221691 55368425 6075965 TG(10:0/10:0/10:0)+NH4 TG(30:0)+NH4 TG (10:0/10:0/10:0) 266416 47127 79600 182075 31480 41853 6743274 3168680 122003 TG(16:0/8:0/8:0)+NH4 TG(32:0)+NH4 TG (16:0/8:0/8:0) 167145 73331 141206 123244 102925 71211 3755974 1433263 282992 TG(16:0/9:0/9:0)+NH4 TG(34:0)+NH4 TG (16:0/9:0/9:0) 381580 466967 731092 838300 459850 667295 14125951 8628510 2357855 TG(8:0/8:0/18:1)+NH4 TG(34:1)+NH4 TG (8:0/8:0/18:1) 251726 288316 368907 273793 313742 234995 7130788 3378372 1289724 TG(15:0/14:0/15:0)+NH4 TG(44:0)+NH4 TG (15:0/14:0/15:0) 1469265 1351220 1511143 1219858 1652197 1338090 18523461 2777117 4691112 TG(44:5p)+NH4 TG(44:5p)+NH4 TG (44:5p) 4535937 15262064 18607564 16764338 11357362 23614638 105316939 57814262 95944906 TG(15:0/14:0/16:0)+NH4 TG(45:0)+NH4 TG (15:0/14:0/16:0) 4242570 3545451 4058101 4398708 4761167 4015965 57774139 7439883 11538391 TG(16:0/14:0/16:0)+NH4 TG(46:0)+NH4 TG (16:0/14:0/16:0) 5598020 5491304 5740841 12961236 12433442 6066611 91201311 14934132 17853551 TG(46:1)+NH4 TG(46:1)+NH4 TG (46:1) 4535191 3566419 3822725 3849498 6655554 4088181 59982626 7728002 12991948 TG(15:0/16:0/16:0)+NH4 TG(47:0)+NH4 TG (15:0/16:0/16:0) 6014432 5475226 3911054 7677815 8650709 6115645 94128965 10564714 16907993 TG(16:0/16:0/16:0)+NH4 TG(48:0)+NH4 TG (16:0/16:0/16:0) 13215849 7342566 9280311 9210184 10219013 11944126 126876794 17516384 23203629 TG(16:0/16:0/16:1)+NH4 TG(48:1)+NH4 TG (16:0/16:0/16:1) 7167337 9384379 9164578 6488288 7035808 5850627 113045336 10346750 31796586 TG(18:0/16:0/16:0)+NH4 TG(50:0)+NH4 TG (18:0/16:0/16:0) 10886254 9827643 10291485 9795707 12440452 10621227 155760042 19004297 30876653 TG(16:0/16:0/18:1)+NH4 TG(50:1)+NH4 TG (16:0/16:0/18:1) 12797301 11948320 11868663 10238770 15749855 13016257 175512959 20929309 37775864 TG(18:0/16:0/18:1)+NH4 TG(52:1)+NH4 TG (18:0/16:0/18:1) 5543436 4792621 4939364 4904924 6207580 5483708 81536378 9679591 15175364 TG(16:0/18:1/18:1)+NH4 TG(52:2)+NH4 TG (16:0/18:1/18:1) 11155612 9475346 10146783 9652307 11401260 10267952 169800206 17824084 32126335 TG(16:1/18:1/18:1)+NH4 TG(52:3)+NH4 TG (16:1/18:1/18:1) 3426569 3780301 2696411 4518607 3413526 3080318 39668886 6703732 8320377 TG(18:0/18:1/18:1)+NH4 TG(54:2)+NH4 TG (18:0/18:1/18:1) 5548113 4798377 5110804 4945345 6065474 5205137 80452150 10110102 15282425 TG(18:1/18:1/18:1)+NH4 TG(54:3)+NH4 TG (18:1/18:1/18:1) 13490074 10791203 12914132 12217457 13097620 9435764 178846144 23630828 38109977 TG(18:1/18:1/18:2)+NH4 TG(54:4)+NH4 TG (18:1/18:1/18:2) 4370798 3844782 4120196 4044172 4899610 4325095 64491431 7551802 11839565 TG(18:1/18:2/18:2)+NH4 TG(54:5)+NH4 TG (18:1/18:2/18:2) 2129330 2134385 2098042 1890230 2384790 2093424 31554468 4111277 6377519 TG(18:2/18:2/18:2)+NH4 TG(54:6)+NH4 TG (18:2/18:2/18:2) 1634749 1308316 1632192 1291751 1805935 1569949 25320674 3118308 4816398 TOTAL 1.067E+09 1.286E+09 1.278E+09 4.515E+09 3.858E+09 4.478E+09 6.485E+10 1.922E+10 2.134E+10 The values in the tale are relative signal response (signal's peak area count is normalized to sample weight and peak area count of the internal standard signal)

TABLE 8 AsPC-1 Exomere Lipid Fatty Acid Exomere Exomere Exomere Lipid Ion Lipid Group Class Chain replicate 1 replicate 2 replicate 3 Cer(d18:1/10:0) + H Cer(d28:1) + H Cer (d18:1/10:0) 922714 731280 588136 Cer(d18:0/12:0) + H Cer(d30:0) + H Cer (d18:0/12:0) 433299 379876 642277 Cer(d18:1/13:0) + H Cer(d31:1) + H Cer (d18:1/13:0) 739433 804300 724615 Cer(d18:1/14:0) + H Cer(d32:1) + H Cer (d18:1/14:0) 3355483 1035085 3512941 Cer(d17:1/16:0) + H Cer(d33:1) + H Cer (d17:1/16:0) 111097 86765 101162 Cer(d18:0/16:0) + H Cer(d34:0) + H Cer (d18:0/16:0) 475984 215732 127355 Cer(d18:1/16:0) + H Cer(d34:1) + H Cer (d18:1/16:0) 1884993 1962653 2259029 Cer(d18:2/16:0) + H Cer(d34:2) + H Cer (d18:2/16:0) 0 0 0 Cer(d35:4) + H Cer(d35:4) + H Cer (d35:4) 30075019 22790952 18212913 Cer(d18:1/18:0) + H Cer(d36:1) + H Cer (d18:1/18:0) 723102 876411 741514 Cer(d36:4) + H Cer(d36:4) + H Cer (d36:4) 1739037 1282484 1030974 Cer(d18:0/20:0) + H Cer(d38:0) + H Cer (d18:0/20:0) 1024850 396750 688157 Cer(d18:1/20:0) + H Cer(d38:1) + H Cer (d18:1/20:0) 782329 603911 456780 Cer(d18:0/22:0) + H Cer(d40:0) + H Cer (d18:0/22:0) 1145918 799985 654517 Cer(d18:1/22:0) + H Cer(d40:1) + H Cer (d18:1/22:0) 1272049 832318 801555 Cer(d18:2/22:0) + H Cer(d40:2) + H Cer (d18:2/22:0) 790415 139469 61759 Cer(d40:2) + H Cer(d40:2) + H Cer (d40:2) 73301 109610 36883 Cer(d18:1/23:0) + H Cer(d41:1) + H Cer (d18:1/23:0) 1344840 815327 677163 Cer(d18:1/23:1) + H Cer(d41:2) + H Cer (d18:1/23:1) 442846 460976 361945 Cer(d18:0/24:0) + H Cer(d42:0) + H Cer (d18:0/24:0) 1807119 1314270 930309 Cer(d18:1/24:0) + H Cer(d42:1) + H Cer (d18:1/24:0) 2697504 2278243 1370820 Cer(d42:2) + H Cer(d42:2) + H Cer (d42:2) 256524 219449 157660 Cer(d18:1/24:1) + H Cer(d42:2) + H Cer (d18:1/24:1) 876326 1125299 1167028 Cer(d18:2/24:1) + H Cer(d42:3) + H Cer (d18:2/24:1) 568391 643582 672065 Cer(d18:1/24:2) + H Cer(d42:3) + H Cer (d18:1/24:2) 0 0 0 Cer(d18:1/25:1) + H Cer(d43:2) + H Cer (d18:1/25:1) 488430 362169 225244 Cer(d18:1/26:0) + H Cer(d44:1) + H Cer (d18:1/26:0) 1136492 862823 743784 Cer(d18:1/26:1) + H Cer(d44:2) + H Cer (d18:1/26:1) 242162 185654 156839 Cer(d20:0/26:0) + H Cer(d46:0) + H Cer (d20:0/26:0) 1635975 1712563 1476686 CerG1(d18:0/16:0) + H CerG1(d34:0) + H CerG1 (d18:0/16:0) 0 0 0 CerG1(d34:1) + H CerG1(d34:1) + H CerG1 (d34:1) 1351687 1012105 257971 CerG1(d18:1/16:1) + H CerG1(d34:2) + H CerG1 (d18:1/16:1) 0 0 0 CerG1(d18:0/22:0) + H CerG1(d40:0) + H CerG1 (d18:0/22:0) 364522 47776 34953 CerG1(d40:1) + H CerG1(d40:1) + H CerG1 (d40:1) 823991 744770 372644 CerG1(d40:2) + H CerG1(d40:2) + H CerG1 (d40:2) 2839228 1492021 1193354 CerG1(d41:1) + H CerG1(d41:1) + H CerG1 (d41:1) 764164 806908 542801 CerG1(d41:2) + H CerG1(d41:2) + H CerG1 (d41:2) 89410 276065 109846 CerG1(d18:0/24:0) + H CerG1(d42:0) + H CerG1 (d18:0/24:0) 0 0 0 CerG1(d18:0/24:1) + H CerG1(d42:1) + H CerG1 (d18:0/24:1) 788807 631057 464415 CerG1(d18:1/24:0) + H CerG1(d42:1) + H CerG1 (d18:1/24:0) 1557377 1337767 1049977 CerG1(d18:1/24:1) + H CerG1(d42:2) + H CerG1 (d18:1/24:1) 925349 672135 566679 CerG1(d18:1/24:2) + H CerG1(d42:3) + H CerG1 (d18:1/24:2) 801368 459387 393780 CerG1(d42:3) + H CerG1(d42:3) + H CerG1 (d42:3) 226214 176624 108803 CerG1(d43:1) + H CerG1(d43:1) + H CerG1 (d43:1) 5239817 4204259 3347078 CerG2(d34:1) + H CerG2(d34:1) + H CerG2 (d34:1) 0 0 0 CerG2(d42:1) + H CerG2(d42:1) + H CerG2 (d42:1) 0 0 0 CerG2(d42:2) + H CerG2(d42:2) + H CerG2 (d42:2) 96147 16943 24405 CerG3(d18:1/16:0) + H CerG3(d34:1) + H CerG3 (d18:1/16:0) 0 0 0 CerG3(d40:1) + H CerG3(d40:1) + H CerG3 (d40:1) 0 0 0 CerG3(d18:1/24:0) + H CerG3(d42:1) + H CerG3 (d18:1/24:0) 101864 57543 85153 CerG3(d18:1/24:1) + H CerG3(d42:2) + H CerG3 (d18:1/24:1) 0 0 0 ChE(18:1) + NH4 ChE(18:1) + NH4 ChE (18:1) 983008 946225 868231 ChE(20:4) + NH4 ChE(20:4) + NH4 ChE (20:4) 3982391 3632500 2741401 CL(65:6) − H CL(65:6) − H CL (65:6) 0 0 0 DG(16:0/14:0) + NH4 DG(30:0) + NH4 DG (16:0/14:0) 584979 556763 475330 DG(16:0/16:0) + NH4 DG(32:0) + NH4 DG (16:0/16:0) 28029721 27287300 24519117 DG(18:0/16:0) + NH4 DG(34:0) + NH4 DG (18:0/16:0) 160330793 150546977 121630016 DG(16:0/18:1) + NH4 DG(34:1) + NH4 DG (16:0/18:1) 3632172 2822252 2470031 DG(18:0/18:0) + NH4 DG(36:0) + NH4 DG (18:0/18:0) 113870656 102936251 85807125 DG(18:0/18:1) + NH4 DG(36:1) + NH4 DG (18:0/18:1) 1063008 1652304 1230277 DG(18:1/18:1) + NH4 DG(36:2) + NH4 DG (18:1/18:1) 2184985 1723649 2463802 DG(38:4) + NH4 DG(38:4) + NH4 DG (38:4) 0 0 0 LPC(12:0) + H LPC(12:0) + H LPC (12:0) 30343631 23220962 18423149 LPC(14:0) + H LPC(14:0) + H LPC (14:0) 312936 153702 124001 LPC(16:0) + H LPC(16:0) + H LPC (16:0) 795149 691995 25605 LPC(16:0e) + H LPC(16:0e) + H LPC (16:0e) 0 0 0 LPC(16:1) + H LPC(16:1) + H LPC (16:1) 0 0 0 LPC(17:0) + H LPC(17:0) + H LPC (17:0) 0 0 0 LPC(18:0) + H LPC(18:0) + H LPC (18:0) 400591 288773 267154 LPC(18:0p) + H LPC(18:0p) + H LPC (18:0p) 0 0 0 LPC(18:1) + H LPC(18:1) + H LPC (18:1) 113490 94404 51393 LPC(18:2) + H LPC(18:2) + H LPC (18:2) 426612 372635 277702 LPC(20:4) + H LPC(20:4) + H LPC (20:4) 0 0 0 LPC(22:5) + H LPC(22:5) + H LPC (22:5) 0 0 0 LPC(22:6) + H LPC(22:6) + H LPC (22:6) 0 0 0 LPE(18:1) − H LPE(18:1) − H LPE (18:1) 0 0 0 LPE(20:3) − H LPE(20:3) − H LPE (20:3) 0 0 0 LPE(20:4) − H LPE(20:4) − H LPE (20:4) 0 0 0 LPG(14:0) − H LPG(14:0) − H LPG (14:0) 2357456 1668521 608968 LPI(18:1) − H LPI(18:1) − H LPI (18:1) 0 0 0 LPS(18:0) − H LPS(18:0) − H LPS (18:0) 0 0 0 LPS(18:1) − H LPS(18:1) − H LPS (18:1) 0 0 0 LPS(19:1) − H LPS(19:1) − H LPS (19:1) 0 0 0 MG(16:0) + H MG(16:0) + H MG (16:0) 14143724 10172586 5817578 MG(18:0) + H MG(18:0) + H MG (18:0) 4367977 3317133 2317922 PC(19:1) + H PC(19:1) + H PC (19:1) 84259 62866 193858 PC(23:0) + H PC(23:0) + H PC (23:0) 1281742 1045112 1050288 PC(25:0) + H PC(25:0) + H PC (25:0) 653226 869218 815950 PC(26:0) + H PC(26:0) + H PC (26:0) 164278 240402 305841 PC(29:0e) + H PC(29:0e) + H PC (29:0e) 0 0 0 PC(30:0) + H PC(30:0) + H PC (30:0) 0 0 0 PC(30:0e) + H PC(30:0e) + H PC (30:0e) 0 0 0 PC(30:1e) + H PC(30:1e) + H PC (30:1e) 0 0 0 PC(31:0) + H PC(31:0) + H PC (31:0) 32936 91914 136126 PC(31:0e) + H PC(31:0e) + H PC (31:0e) 0 0 0 PC(31:1) + H PC(31:1) + H PC (31:1) 500377 352524 1407330 PC(31:2) + H PC(31:2) + H PC (31:2) 18434 55350 119105 PC(32:0) + H PC(32:0) + H PC (32:0) 4203748 6634160 9559867 PC(32:0e) + H PC(32:0e) + H PC (16:0e/16:0) 4180999 6545060 7882185 PC(32:1) + H PC(32:1) + H PC (32:1) 278801 300378 524287 PC(32:1e) + H PC(32:1e) + H PC (32:1e) 0 0 0 PC(32:1p) + H PC(32:1p) + H PC (32:1p) 0 0 0 PC(32:3) + H PC(32:3) + H PC (32:3) 0 0 0 PC(33:0) + H PC(33:0) + H PC (33:0) 33618 199395 300228 PC(33:0e) + H PC(33:0e) + H PC (33:0e) 63572 186964 237328 PC(33:0p) + H PC(33:0p) + H PC (33:0p) 0 0 0 PC(15:0/18:1) + H PC(33:1) + H PC (15:0/18:1) 209392 322296 506948 PC(33:1p) + H PC(33:1p) + H PC (33:1p) 66058 846230 85808 PC(33:2) + H PC(33:2) + H PC (33:2) 415422 2012692 1805737 PC(11:0/22:2) + H PC(33:2) + H PC (11:0/22:2) 200582 274147 165613 PC(33:3) + H PC(33:3) + H PC (33:3) 0 0 0 PC(34:0) + H PC(34:0) + H PC (34:0) 4121693 6223644 6771436 PC(34:0e) + H PC(34:0e) + H PC (18:0e/16:0) 7150592 8261064 11354670 PC(34:1) + H PC(34:1) + H PC (16:0/18:1) 3730178 5307082 11620462 PC(34:1e) + H PC(34:1e) + H PC (16:0e/18:1) 1212041 2036509 4798753 PC(34:2) + H PC(34:2) + H PC (34:2) 1072380 873593 1129504 PC(34:2e) + H PC(34:2e) + H PC (34:2e) 125308 444773 424157 PC(34:2p) + H PC(34:2p) + H PC (34:2p) 64077 287277 291967 PC(34:3) + H PC(34:3) + H PC (34:3) 0 0 0 PC(34:3p) + H PC(34:3p) + H PC (34:3p) 387366 831234 334851 PC(35:0) + H PC(35:0) + H PC (35:0) 0 0 0 PC(35:0p) + H PC(35:0p) + H PC (35:0p) 35538 27787 36860 PC(17:0/18:1) + H PC(35:1) + H PC (17:0/18:1) 3835758 4031186 4927640 PC(35:1p) + H PC(35:1p) + H PC (35:1p) 0 0 0 PC(35:2) + H PC(35:2) + H PC (35:2) 1675917 2001719 2156091 PC(35:3) + H PC(35:3) + H PC (35:3) 0 0 0 PC(35:4) + H PC(35:4) + H PC (35:4) 0 0 0 PC(35:5) + H PC(35:5) + H PC (35:5) 356462 364034 384169 PC(35:6) + H PC(35:6) + H PC (35:6) 0 0 0 PC(36:0e) + H PC(36:0e) + H PC (36:0e) 79388 149892 194133 PC(36:1) + H PC(36:1) + H PC (18:0/18:1) 5112511 6497046 14742392 PC(36:1e) + H PC(36:1e) + H PC (18:0e/18:1) 1771544 3519641 6392630 PC(36:2) + H PC(36:2) + H PC (18:1/18:1) 9310826 10328068 13038034 PC(36:2e) + H PC(36:2e) + H PC (36:2e) 785677 1391854 375522 PC(36:2p) + H PC(36:2p) + H PC (36:2p) 0 0 0 PC(24:0/12:3) + H PC(36:3) + H PC (24:0/12:3) 164735 139799 256712 PC(36:3) + H PC(36:3) + H PC (36:3) 269683 270909 201161 PC(36:4) + H PC(36:4) + H PC (36:4) 0 0 0 PC(36:4e) + H PC(36:4e) + H PC (36:4e) 0 0 0 PC(36:4p) + H PC(36:4p) + H PC (36:4p) 0 0 0 PC(36:5) + H PC(36:5) + H PC (36:5) 0 0 0 PC(37:1) + H PC(37:1) + H PC (37:1) 50848 144950 220004 PC(19:1/18:1) + H PC(37:2) + H PC (19:1/18:1) 6949122 6440153 8273071 PC(37:3) + H PC(37:3) + H PC (37:3) 0 0 0 PC(37:4) + H PC(37:4) + H PC (37:4) 0 0 0 PC(37:5) + H PC(37:5) + H PC (37:5) 0 0 0 PC(37:6) + H PC(37:6) + H PC (37:6) 0 0 0 PC(38:0e) + H PC(38:0e) + H PC (38:0e) 108496 166253 117810 PC(38:1e) + H PC(38:1e) + H PC (38:1e) 87765 98939 280764 PC(38:2) + H PC(38:2) + H PC (38:2) 342595 893920 1083926 PC(38:2e) + H PC(38:2e) + H PC (38:2e) 156710 180106 182506 PC(38:3) + H PC(38:3) + H PC (38:3) 0 0 0 PC(38:3e) + H PC(38:3e) + H PC (38:3e) 0 0 0 PC(38:4) + H PC(38:4) + H PC (38:4) 149067 90719 379869 PC(38:4e) + H PC(38:4e) + H PC (38:4e) 0 0 0 PC(38:4p) + H PC(38:4p) + H PC (38:4p) 59228 240250 343852 PC(27:1/11:4) + H PC(38:5) + H PC (27:1/11:4) 0 0 0 PC(38:5) + H PC(38:5) + H PC (38:5) 305262 236785 505916 PC(38:6) + H PC(38:6) + H PC (38:6) 0 0 0 PC(38:6e) + H PC(38:6e) + H PC (38:6e) 0 0 0 PC(38:7) + H PC(38:7) + H PC (38:7) 0 0 0 PC(39:5) + H PC(39:5) + H PC (39:5) 0 0 0 PC(39:6) + H PC(39:6) + H PC (39:6) 0 0 0 PC(40:1e) + H PC(40:1e) + H PC (40:1e) 168705 477182 303757 PC(40:2) + H PC(40:2) + H PC (40:2) 0 0 0 PC(40:2e) + H PC(40:2e) + H PC (40:2e) 1056476 1307641 1555495 PC(40:3) + H PC(40:3) + H PC (40:3) 0 0 0 PC(40:4) + H PC(40:4) + H PC (40:4) 2363346 2333289 964621 PC(40:5) + H PC(40:5) + H PC (40:5) 0 0 0 PC(40:5e) + H PC(40:5e) + H PC (40:5e) 0 0 0 PC(18:0/22:6) + H PC(40:6) + H PC (18:0/22:6) 0 0 0 PC(40:6) + H PC(40:6) + H PC (40:6) 0 0 0 PC(40:6e) + H PC(40:6e) + H PC (40:6e) 0 0 0 PC(40:6p) + H PC(40:6p) + H PC (40:6p) 0 0 0 PC(40:7) + H PC(40:7) + H PC (40:7) 0 0 0 PC(42:1) + H PC(42:1) + H PC (42:1) 19564 87575 145919 PC(42:1e) + H PC(42:1e) + H PC (42:1e) 200433 166531 298280 PC(42:2) + H PC(42:2) + H PC (42:2) 14940 20915 13240 PC(42:2e) + H PC(42:2e) + H PC (42:2e) 25323 92239 19366 PC(42:3p) + H PC(42:3p) + H PC (42:3p) 0 0 0 PC(44:1) + H PC(44:1) + H PC (44:1) 0 0 0 PC(44:2) + H PC(44:2) + H PC (44:2) 0 0 0 PE(32:1p) − H PE(32:1p) − H PE (16:0p/16:1) 0 0 0 PE(33:1p) − H PE(33:1p) − H PE (33:1p) 0 0 0 PE(16:0/18:1) − H PE(34:1) − H PE (16:0/18:1) 601756 200276 219181 PE(34:1e) − H PE(34:1e) − H PE (34:1e) 0 0 0 PE(16:0p/18:1) − H PE(34:1p) − H PE (16:0p/18:1) 114895 145950 281241 PE(16:1/18:1) − H PE(34:2) − H PE (16:1/18:1) 0 0 0 PE(34:2p) − H PE(34:2p) − H PE (18:1p/16:1) 0 0 0 PE(16:0p/18:2) − H PE(34:2p) − H PE (16:0p/18:2) 0 0 0 PE(18:0/18:1) − H PE(36:1) − H PE (18:0/18:1) 153814 93203 171083 PE(18:0e/18:1) − H PE(36:1e) − H PE (18:0e/18:1) 28588 33260 43901 PE(18:0p/18:1) − H PE(36:1p) − H PE (18:0p/18:1) 680151 522948 730742 PE(18:1/18:1) − H PE(36:2) − H PE (18:1/18:1) 1173527 447335 395702 PE(18:1p/18:1) − H PE(36:2p) − H PE (18:1p/18:1) 0 0 0 PE(18:0p/18:2) − H PE(36:2p) − H PE (18:0p/18:2) 0 0 0 PE(18:1/18:2) − H PE(36:3) − H PE (18:1/18:2) 0 0 0 PE(16:0p/20:3) − H PE(36:3p) − H PE (16:0p/20:3) 0 0 0 PE(16:0p/20:4) − H PE(36:4p) − H PE (16:0p/20:4) 0 0 0 PE(36:5p) − H PE(36:5p) − H PE (16:0p/20:5) 0 0 0 PE(20:1/18:1) − H PE(38:2) − H PE (20:1/18:1) 0 0 0 PE(18:0/20:2) − H PE(38:2) − H PE (18:0/20:2) 0 0 0 PE(18:0p/20:2) − H PE(38:2p) − H PE (18:0p/20:2) 0 0 0 PE(18:1/20:2) − H PE(38:3) − H PE (18:1/20:2) 0 0 0 PE(18:0/20:3) − H PE(38:3) − H PE (18:0/20:3) 0 0 0 PE(18:0p/20:3) − H PE(38:3p) − H PE (18:0p/20:3) 0 0 0 PE(38:3p) − H PE(38:3p) − H PE (18:0p/20:3) 0 0 0 PE(18:0/20:4) − H PE(38:4) − H PE (18:0/20:4) 0 0 0 PE(18:1p/20:3) − H PE(38:4p) − H PE (18:1p/20:3) 0 0 0 PE(18:0p/20:4) − H PE(38:4p) − H PE (18:0p/20:4) 0 0 0 PE(18:1/20:4) − H PE(38:5) − H PE (18:1/20:4) 0 0 0 PE(18:1p/20:4) − H PE(38:5p) − H PE (18:1p/20:4) 0 0 0 PE(38:5p) − H PE(38:5p) − H PE (38:5p) 0 0 0 PE(16:0p/22:6) − H PE(38:6p) − H PE (16:0p/22:6) 0 0 0 PE(40:4p) − H PE(40:4p) − H PE (18:0p/22:4) 0 0 0 PE(18:0p/22:5) − H PE(40:5p) − H PE (18:0p/22:5) 0 0 0 PE(40:5p) − H PE(40:5p) − H PE (18:0p/22:5) 0 0 0 PE(18:1p/22:5) − H PE(40:6p) − H PE (18:1p/22:5) 0 0 0 PE(18:0p/22:6) − H PE(40:6p) − H PE (18:0p/22:6) 0 0 0 PE(18:1/24:0) − H PE(42:1) − H PE (18:1/24:0) 0 0 0 PE(50:2) − H PE(50:2) − H PE (50:2) 0 0 0 PG(12:0/14:0) − H PG(26:0) − H PG (12:0/14:0) 2289790 1297380 747348 PG(18:1/18:1) − H PG(36:2) − H PG (18:1/18:1) 671672 355189 227011 PI(16:0/18:1) − H PI(34:1) − H PI (16:0/18:1) 0 0 0 PI(18:0/18:1) − H PI(36:1) − H PI (18:0/18:1) 513756 828168 529957 PI(18:1/18:1) − H PI(36:2) − H PI (18:1/18:1) 0 0 0 PI(18:0/20:2) − H PI(38:2) − H PI (18:0/20:2) 0 0 0 PI(18:1/20:2) − H PI(38:3) − H PI (18:1/20:2) 0 0 0 PI(18:0/20:3) − H PI(38:3) − H PI (18:0/20:3) 0 0 0 PI(18:0/20:4) − H PI(38:4) − H PI (18:0/20:4) 0 0 0 PI(18:1/20:4) − H PI(38:5) − H PI (18:1/20:4) 0 0 0 PI(18:0/22:4) − H PI(40:4) − H PI (18:0/22:4) 0 0 0 PI(18:0/22:5) − H PI(40:5) − H PI (18:0/22:5) 0 0 0 PS(12:0/14:0) − H PS(26:0) − H PS (12:0/14:0) 714575 346586 294597 PS(18:0/16:1) − H PS(34:1) − H PS (18:0/16:1) 0 0 0 PS(35:1) − H PS(35:1) − H PS (35:1) 0 0 0 PS(17:1/18:0) − H PS(35:1) − H PS (17:1/18:0) 0 0 0 PS(18:0/18:1) − H PS(36:1) − H PS (18:0/18:1) 5033800 3921496 3947054 PS(18:0e/18:1) − H PS(36:1e) − H PS (18:0e/18:1) 0 0 0 PS(18:1/18:1) − H PS(36:2) − H PS (18:1/18:1) 0 0 0 PS(18:0/18:2) − H PS(36:2) − H PS (18:0/18:2) 0 0 0 PS(36:3p) − H PS(36:3p) − H PS (36:3p) 0 0 0 PS(37:0) − H PS(37:0) − H PS (37:0) 760780 1021200 860070 PS(19:0/18:1) − H PS(37:1) − H PS (19:0/18:1) 759832 604079 391985 PS(37:1) − H PS(37:1) − H PS (37:1) 0 0 0 PS(37:2) − H PS(37:2) − H PS (37:2) 156968 148413 131555 PS(20:0/18:1) − H PS(38:1) − H PS (20:0/18:1) 0 0 0 PS(20:1/18:1) − H PS(38:2) − H PS (20:1/18:1) 0 0 0 PS(18:0/20:2) − H PS(38:2) − H PS (18:0/20:2) 0 0 0 PS(38:2p) − H PS(38:2p) − H PS (38:2p) 0 0 0 PS(18:0/20:3) − H PS(38:3) − H PS (18:0/20:3) 0 0 0 PS(18:0/20:4) − H PS(38:4) − H PS (18:0/20:4) 649164 763006 512449 PS(38:6p) − H PS(38:6p) − H PS (38:6p) 499022 80779 72098 PS(39:1) − H PS(39:1) − H PS (39:1) 1337394 688759 467218 PS(39:2) − H PS(39:2) − H PS (39:2) 0 0 0 PS(39:3) − H PS(39:3) − H PS (39:3) 0 0 0 PS(39:4) − H PS(39:4) − H PS (39:4) 0 0 0 PS(18:1/22:0) − H PS(40:1) − H PS (18:1/22:0) 298959 265951 213382 PS(18:1/22:1) − H PS(40:2) − H PS (18:1/22:1) 0 0 0 PS(18:1/22:2) − H PS(40:3) − H PS (18:1/22:2) 0 0 0 PS(18:0/22:4) − H PS(40:4) − H PS (18:0/22:4) 0 0 0 PS(18:0/22:5) − H PS(40:5) − H PS (18:0/22:5) 0 0 0 PS(40:5) − H PS(40:5) − H PS (40:5) 0 0 0 PS(18:1/24:0) − H PS(42:1) − H PS (18:1/24:0) 304095 175928 112391 PS(18:1/24:1) − H PS(42:2) − H PS (18:1/24:1) 0 0 0 SM(d31:1) + H SM(d31:1) + H SM (d31:1) 0 0 0 SM(d32:0) + H SM(d32:0) + H SM (d32:0) 0 0 0 SM(d32:1) + H SM(d32:1) + H SM (d32:1) 0 0 0 SM(d32:2) + H SM(d32:2) + H SM (d32:2) 0 0 0 SM(d33:1) + H SM(d33:1) + H SM (d33:1) 0 0 0 SM(d33:5) + H SM(d33:5) + H SM (d33:5) 13767217 7353865 5205066 SM(d34:0) + H SM(d34:0) + H SM (d34:0) 968701 762450 1218142 SM(d34:1) + H SM(d34:1) + H SM (d18:1/16:0) 5647889 7474945 9598049 SM(d34:2) + H SM(d34:2) + H SM (d18:1/16:1) 0 0 0 SM(d35:1) + H SM(d35:1) + H SM (d35:1) 0 0 0 SM(d35:2) + H SM(d35:2) + H SM (d35:2) 0 0 0 SM(d35:4) + H SM(d35:4) + H SM (d35:4) 0 0 0 SM(d36:0) + H SM(d36:0) + H SM (d20:0/16:0) 277558 245117 232802 SM(d36:1) + H SM(d36:1) + H SM (d18:0/18:1) 1693696 1847623 1767849 SM(d36:2) + H SM(d36:2) + H SM (d18:1/18:1) 0 0 0 SM(d36:4) + H SM(d36:4) + H SM (d36:4) 144312 410617 402904 SM(d38:1) + H SM(d38:1) + H SM (d38:1) 629163 1171614 641719 SM(d40:0) + H SM(d40:0) + H SM (d40:0) 831110 694245 576019 SM(d40:1) + H SM(d40:1) + H SM (d40:1) 29722 17597 41575 SM(d17:1/23:0) + H SM(d40:1) + H SM (d17:1/23:0) 8002552 7469383 6186988 SM(d40:2) + H SM(d40:2) + H SM (d40:2) 249009 428289 225202 SM(d41:1) + H SM(d41:1) + H SM (d41:1) 2217904 2152799 1219236 SM(d41:2) + H SM(d41:2) + H SM (d41:2) 519481 377538 271016 SM(d18:1/24:0) + H SM(d42:1) + H SM (d18:1/24:0) 1403775 1329722 1375161 SM(d42:1) + H SM(d42:1) + H SM (d42:1) 20063175 15292830 12264345 SM(d18:1/24:1) + H SM(d42:2) + H SM (d18:1/24:1) 10177555 10775373 13484127 SM(d18:1/24:2) + H SM(d42:3) + H SM (d18:1/24:2) 100418 221234 596242 SM(d42:5) + H SM(d42:5) + H SM (d42:5) 0 0 0 SM(d43:1) + H SM(d43:1) + H SM (d43:1) 328738 498963 163191 SM(d18:2/25:0) + H SM(d43:2) + H SM (d18:2/25:0) 432950 328433 217142 SM(d43:3) + H SM(d43:3) + H SM (d43:3) 0 0 0 SM(d43:4) + H SM(d43:4) + H SM (d43:4) 71421 79867 29898 SM(d44:1) + H SM(d44:1) + H SM (d44:1) 99170 26271 53968 SM(d44:2) + H SM(d44:2) + H SM (d16:1/28:1) 408391 331363 542864 SM(d44:3) + H SM(d44:3) + H SM (d44:3) 0 0 0 SM(d44:4) + H SM(d44:4) + H SM (d44:4) 1756037 1561280 1165937 SM(d44:5) + H SM(d44:5) + H SM (d44:5) 397723 404998 1273342 SM(d44:6) + H SM(d44:6) + H SM (d44:6) 0 0 0 TG(16:0/14:0/14:0) + NH4 TG(44:0) + NH4 TG (16:0/14:0/14:0) 5303660 4167352 3263212 TG(44:5p) + NH4 TG(44:5p) + NH4 TG (44:5p) 1849254 2918445 1219107 TG(15:0/14:0/16:0) + NH4 TG(45:0) + NH4 TG (15:0/14:0/16:0) 15559462 10888195 12475767 TG(16:0/14:0/16:0) + NH4 TG(46:0) + NH4 TG (16:0/14:0/16:0) 12694392 9433598 7845824 TG(15:0/16:0/16:0) + NH4 TG(47:0) + NH4 TG (15:0/16:0/16:0) 21832045 18085839 12810089 TG(16:0/16:0/16:0) + NH4 TG(48:0) + NH4 TG (16:0/16:0/16:0) 26521769 20001891 17929239 TG(16:0/16:0/16:1) + NH4 TG(48:1) + NH4 TG (16:0/16:0/16:1) 12412377 9353767 7694661 TG(16:0/16:0/17:0) + NH4 TG(49:0) + NH4 TG (16:0/16:0/17:0) 13887670 10159264 8261798 TG(18:0/16:0/16:0) + NH4 TG(50:0) + NH4 TG (18:0/16:0/16:0) 22287169 19441382 14565244 TG(16:0/16:0/18:1) + NH4 TG(50:1) + NH4 TG (16:0/16:0/18:1) 14395579 11314658 10220305 TG(18:0/16:0/18:0) + NH4 TG(52:0) + NH4 TG (18:0/16:0/18:0) 30196361 24602915 18880481 TG(18:0/16:0/18:1) + NH4 TG(52:1) + NH4 TG (18:0/16:0/18:1) 8767125 6675705 6023037 TG(16:0/18:1/18:1) + NH4 TG(52:2) + NH4 TG (16:0/18:1/18:1) 14399280 10801174 9022808 TG(18:0/18:0/18:0) + NH4 TG(54:0) + NH4 TG (18:0/18:0/18:0) 13232227 15433611 9540723 TG(18:0/18:1/18:1) + NH4 TG(54:2) + NH4 TG (18:0/18:1/18:1) 6466612 4735583 4070103 TG(18:1/18:1/18:1) + NH4 TG(54:3) + NH4 TG (18:1/18:1/18:1) 10995098 11297342 8798428 TG(18:1/18:1/18:2) + NH4 TG(54:4) + NH4 TG (18:1/18:1/18:2) 3984880 3595645 4091756 sum 8.28E+08 7.39E+08 6.62E+08 AsPC-1 Exo-S Exo-S Exo-S Exo-S Exo-L Exo-L Exo-L Lipid Ion replicate 1 replicate 2 replicate 3 replicate 1 replicate 2 replicate 3 Cer(d18:1/10:0) + H 1161226 1104881 1080798 1009806 970265 1019853 Cer(d18:0/12:0) + H 1487628 1400270 1360991 1328204 1348430 1431742 Cer(d18:1/13:0) + H 710091 727948 646497 691943 734274 672348 Cer(d18:1/14:0) + H 15028983 10756351 12788017 11837058 13185164 17142365 Cer(d17:1/16:0) + H 379140 281638 284626 294461 333111 675879 Cer(d18:0/16:0) + H 3199021 2170628 2182341 1908614 2413209 6114505 Cer(d18:1/16:0) + H 30384987 18029692 17991061 16808869 20310534 49842138 Cer(d18:2/16:0) + H 843471 433831 601831 464028 719898 2103409 Cer(d35:4) + H 26319798 39255398 33728028 32453953 32665201 31914933 Cer(d18:1/18:0) + H 1412875 1266895 1230538 948796 1065738 2469847 Cer(d36:4) + H 2490620 3453773 3082102 3179130 3200308 2943881 Cer(d18:0/20:0) + H 558221 750178 724697 477538 650722 593305 Cer(d18:1/20:0) + H 740000 699573 731853 567302 694776 788387 Cer(d18:0/22:0) + H 1121869 1105527 942368 991968 1038308 1156820 Cer(d18:1/22:0) + H 3416578 3333647 3005547 2442580 2996249 5201654 Cer(d18:2/22:0) + H 1069304 923098 858943 770839 965341 1376478 Cer(d40:2) + H 528227 488293 496723 330455 403122 646014 Cer(d18:1/23:0) + H 1502701 1633233 1468462 1376976 1460770 2052176 Cer(d18:1/23:1) + H 1015675 969892 820092 682008 931279 1370667 Cer(d18:0/24:0) + H 3184280 2823858 2154463 2737526 2510675 2760974 Cer(d18:1/24:0) + H 8271652 8929382 7674317 6102411 6961716 11310964 Cer(d42:2) + H 1536223 1036262 955659 1041349 1277473 1516394 Cer(d18:1/24:1) + H 17012350 12558081 13636203 13392651 13806383 21927440 Cer(d18:2/24:1) + H 2506551 2252357 2314338 1654686 1934877 3114050 Cer(d18:1/24:2) + H 481704 451615 492035 310218 427242 714094 Cer(d18:1/25:1) + H 683789 534379 404730 538777 584311 861871 Cer(d18:1/26:0) + H 597931 883146 637774 578080 619969 729993 Cer(d18:1/26:1) + H 1016476 699431 1098185 457425 742659 1061528 Cer(d20:0/26:0) + H 708722 868500 765557 718766 819701 574516 CerG1(d18:0/16:0) + H 864168 506638 609843 553861 832616 1432924 CerG1(d34:1) + H 7021599 3688081 4458304 3677552 5456609 13273493 CerG1(d18:1/16:1) + H 1018845 378416 668961 859960 785304 2817295 CerG1(d18:0/22:0) + H 628338 650900 612148 474909 575159 858877 CerG1(d40:1) + H 3052629 3270582 3204884 2599195 3459299 4077409 CerG1(d40:2) + H 1626853 3387723 1536495 1988983 2509258 2777076 CerG1(d41:1) + H 1692484 1838120 1850641 1652466 1936847 2397855 CerG1(d41:2) + H 930620 993643 1181784 754978 1200394 1394143 CerG1(d18:0/24:0) + H 286005 335772 233098 272549 249176 348811 CerG1(d18:0/24:1) + H 1347692 1371485 1352479 1062879 1364555 1724422 CerG1(d18:1/24:0) + H 11027272 11234757 10945107 8532979 9834946 14096107 CerG1(d18:1/24:1) + H 10337681 10431503 10034066 7372647 7652274 11279492 CerG1(d18:1/24:2) + H 2792122 2494495 2245846 2027476 2376374 3649090 CerG1(d42:3) + H 763634 754435 672905 490811 646572 907412 CerG1(d43:1) + H 1744932 3094670 1778420 2204296 2159863 2140945 CerG2(d34:1) + H 642664 394912 547028 210517 329480 997227 CerG2(d42:1) + H 444004 559695 522116 224790 312103 529451 CerG2(d42:2) + H 363978 386598 391621 364937 522104 635200 CerG3(d18:1/16:0) + H 1373647 1156975 1202804 871826 1506591 3563338 CerG3(d40:1) + H 614765 752731 728724 523409 893840 1312598 CerG3(d18:1/24:0) + H 1065963 1287090 1345598 970774 1487985 1822581 CerG3(d18:1/24:1) + H 1649962 1982943 1952014 1287818 2043444 3161386 ChE(18:1) + NH4 244470 334002 466805 4256 26349 21028 ChE(20:4) + NH4 916434 1627716 1352287 218337 315787 374468 CL(65:6) − H 702956 552776 339214 421191 247487 424130 DG(16:0/14:0) + NH4 973603 1158921 1174666 679157 616636 1121200 DG(16:0/16:0) + NH4 61921185 68407427 76083764 24020977 22806431 38878778 DG(18:0/16:0) + NH4 230841669 280004469 270615121 86899288 71714323 119350648 DG(16:0/18:1) + NH4 5330915 5580228 5683906 2482229 3806795 5541844 DG(18:0/18:0) + NH4 148057137 181162446 202969267 53698985 48750456 69243389 DG(18:0/18:1) + NH4 13092850 7393824 7041699 3960275 4899353 11105058 DG(18:1/18:1) + NH4 3398696 3475896 3375059 1848013 2473660 5223812 DG(38:4) + NH4 2710444 2416677 2784049 1019162 1626647 4373355 LPC(12:0) + H 6875148 15237499 11335390 14641381 14103549 10268177 LPC(14:0) + H 64246 180518 79870 378594 305649 127215 LPC(16:0) + H 601713 3672654 3446154 5882972 4860845 3275044 LPC(16:0e) + H 243209 292626 414534 958148 742665 456908 LPC(16:1) + H 5785 396438 298862 668287 1013889 1032464 LPC(17:0) + H 70542 69075 63959 44774 60125 49923 LPC(18:0) + H 1927402 2299656 2103428 1827748 1489634 1855024 LPC(18:0p) + H 207965 581189 448823 1212508 1085489 577963 LPC(18:1) + H 395707 643028 828394 1931504 1011218 1224900 LPC(18:2) + H 179810 283973 196460 406567 363529 411191 LPC(20:4) + H 49823 225843 255573 689835 486941 632133 LPC(22:5) + H 80675 143231 178404 316426 293360 293421 LPC(22:6) + H 0 0 0 86510 232105 208305 LPE(18:1) − H 139448 325069 344966 367619 394221 250340 LPE(20:3) − H 111547 222401 208878 370133 364009 246116 LPE(20:4) − H 216557 274736 267947 628875 568699 494027 LPG(14:0) − H 274890 153355 180713 311235 243986 138531 LPI(18:1) − H 87027 181641 99964 246331 223662 144567 LPS(18:0) − H 169089 134254 166002 201245 164475 166604 LPS(18:1) − H 98760 213048 177159 729058 573819 375246 LPS(19:1) − H 68019 113820 70263 394183 217347 131259 MG(16:0) + H 5899502 13145688 12085848 10489087 10194685 9503516 MG(18:0) + H 12732909 10535058 11683794 9733769 8411484 14989788 PC(19:1) + H 122926 555836 486515 353299 632150 454546 PC(23:0) + H 496786 263827 326499 376003 316583 274788 PC(25:0) + H 38200 310715 298325 291393 536801 301964 PC(26:0) + H 998129 825300 807520 1199487 1147117 1418367 PC(29:0e) + H 1328872 250142 389003 260507 365739 2364802 PC(30:0) + H 63943542 23370942 34507465 21699367 26794604 93096918 PC(30:0e) + H 10114487 3331109 5098548 3783590 4224563 12140025 PC(30:1e) + H 1025759 429715 578419 378541 629557 1730399 PC(31:0) + H 5492878 2611494 3358798 1673558 2388076 7241760 PC(31:0e) + H 4080802 1568609 1948575 1311610 1663829 6970217 PC(31:1) + H 6011892 3305120 2855380 3426604 3830843 10886160 PC(31:2) + H 1276901 777935 857771 771724 910353 2150286 PC(32:0) + H 222463088 73885024 103573737 54969035 72787383 299526790 PC(32:0e) + H 157924876 66726205 83052912 52829339 71874784 265148202 PC(32:1) + H 163964056 62072430 95532316 65253343 86138840 277506868 PC(32:1e) + H 47258395 18758432 27062064 20165414 29575036 85804351 PC(32:1p) + H 3616382 2130448 3237822 1995523 2466831 8302859 PC(32:3) + H 3043031 624002 1562553 974509 1007768 2506956 PC(33:0) + H 5008317 2448474 3276320 2097658 2556923 8080469 PC(33:0e) + H 8189510 2678103 4082465 2067407 2869997 9251867 PC(33:0p) + H 6397448 3614457 5354263 3315323 5213227 13839753 PC(15:0/18:1) + H 13728709 8024142 10367415 6489996 7833478 23435505 PC(33:1p) + H 1601956 919262 506235 761065 455790 4502564 PC(33:2) + H 18052045 12291802 13081911 10187182 13373854 30000402 PC(11:0/22:2) + H 2267403 1862264 2225879 1889345 1931937 5281977 PC(33:3) + H 1027039 723191 925158 739632 904388 2124102 PC(34:0) + H 83132810 44647806 52253530 29513711 37605970 120581424 PC(34:0e) + H 148548027 79146970 94349458 62492086 78166918 262828420 PC(34:1) + H 879077540 342271124 515629960 271405044 374571523 1222348694 PC(34:1e) + H 429736059 213607792 294219626 182594040 259325783 819615632 PC(34:2) + H 103666480 27739950 41819777 47595261 62731171 207685629 PC(34:2e) + H 32855363 17844060 28402773 16462324 23447065 78892513 PC(34:2p) + H 10792235 3406653 5366602 2977466 4086870 20524193 PC(34:3) + H 15792697 5429109 8623407 4658898 6390042 20994718 PC(34:3p) + H 3582997 920913 1979741 1407326 2005150 6383460 PC(35:0) + H 1734535 1270945 1224689 603898 1099443 3302983 PC(35:0p) + H 12025612 6316554 10202029 4259749 8172861 27656575 PC(17:0/18:1) + H 31280319 17547139 22758164 13605271 16063303 47602977 PC(35:1p) + H 2945064 1901246 2534803 1761623 2427471 8412815 PC(35:2) + H 9468768 7036386 8657409 5322675 7203421 18903749 PC(35:3) + H 1036383 480327 483676 455052 957129 1529499 PC(35:4) + H 5013103 3145516 4224496 2622638 2878708 8523382 PC(35:5) + H 1201973 926920 1187038 822205 1013364 2508421 PC(35:6) + H 1573743 1751103 876983 574233 432246 1841804 PC(36:0e) + H 3902025 2912032 3624892 2099787 2860792 7737745 PC(36:1) + H 474400334 237173016 317062368 154373907 212240303 715131037 PC(36:1e) + H 169591121 91320975 121158842 67761706 96009736 356456609 PC(36:2) + H 324666678 166775194 242131812 141046062 192670417 628039448 PC(36:2e) + H 97167630 64719454 86759273 57974614 85255206 258144537 PC(36:2p) + H 17222343 8050609 13465033 8143532 12746039 42746990 PC(24:0/12:3) + H 27092292 15772942 21768455 11076757 15766577 44703253 PC(36:3) + H 22911621 13362379 11646157 10181077 9496648 52059855 PC(36:4) + H 110189529 49588882 78576258 35415317 50297707 169256945 PC(36:4e) + H 38069521 15576770 24673031 13316096 22319102 73379638 PC(36:4p) + H 2756595 1621421 2048603 1182737 1741625 5461028 PC(36:5) + H 4857625 1164977 1738355 1194229 1649032 9973998 PC(37:1) + H 5304541 3115622 3885020 2035884 2456141 7811462 PC(19:1/18:1) + H 10817575 8676144 10426351 7418812 8565635 20790315 PC(37:3) + H 1317492 436963 738382 770785 671578 2512843 PC(37:4) + H 1793297 1081559 1438550 513421 881156 2902676 PC(37:5) + H 438600 333449 379787 112158 211023 685896 PC(37:6) + H 11368778 864920 6598599 4309772 9144234 14451472 PC(38:0e) + H 962497 828723 1192211 548438 821886 2314833 PC(38:1e) + H 4748876 2261374 5431443 2278222 3264407 12824060 PC(38:2) + H 34125965 21280872 27187219 15335018 18679914 57870214 PC(38:2e) + H 3818221 4501763 5303514 2094512 3911259 15442890 PC(38:3) + H 24010539 15620616 20829185 8215146 12265718 39116728 PC(38:3e) + H 3587391 2515178 3466725 1942637 3010984 9560628 PC(38:4) + H 75591644 39154589 49192201 22831255 31486336 109458253 PC(38:4e) + H 13218272 5783361 6021199 4736207 7437737 33065247 PC(38:4p) + H 5819383 2721201 4471814 2815866 4860563 17618545 PC(27:1/11:4) + H 97295656 52924138 71975188 31312601 45819149 146213524 PC(38:5) + H 23628994 12356472 19405208 10808692 16371303 46459934 PC(38:6) + H 18810629 9749474 13899646 5722454 8560641 25258911 PC(38:6e) + H 2427286 2079964 2721481 1354677 1977902 5503233 PC(38:7) + H 3087577 1540326 2842895 1255838 1853276 6723691 PC(39:5) + H 1020470 1082619 871351 445031 840162 2093480 PC(39:6) + H 747698 424200 426959 215079 367974 864086 PC(40:1e) + H 3884757 3006051 3225138 2089874 2866312 7385477 PC(40:2) + H 3684092 2396213 2789114 1530716 2002747 5797455 PC(40:2e) + H 21597550 15602090 15705062 14040184 14623827 30631508 PC(40:3) + H 1365862 1009399 1290362 770109 881906 2508288 PC(40:4) + H 7279839 4805786 6050261 2919457 4100939 9004000 PC(40:5) + H 24484856 12247208 16650322 7234538 9777885 31592139 PC(40:5e) + H 1350707 687572 1713199 869781 878835 2174102 PC(18:0/22:6) + H 9863904 4518368 8459785 3770019 4383755 16982380 PC(40:6) + H 15959856 8768453 12263365 4851447 6729448 21167408 PC(40:6e) + H 1533314 1013363 1247103 640465 1006167 3681620 PC(40:6p) + H 455558 475649 398468 237876 704771 2287725 PC(40:7) + H 3139185 2870450 3222294 1346363 1744917 5947286 PC(42:1) + H 2690383 1705651 1913714 1330900 1393883 2948525 PC(42:1e) + H 1098437 887955 1060519 832552 1064504 1929601 PC(42:2) + H 2255144 1444606 2317659 1326718 1604104 3559083 PC(42:2e) + H 1855766 1700702 3051695 1324034 1575294 3915372 PC(42:3p) + H 381684 341452 384422 301856 371096 631483 PC(44:1) + H 1742298 861037 1098095 653008 825915 1534289 PC(44:2) + H 2528570 1283888 1096267 829378 1064444 2243455 PE(32:1p) − H 2618424 1659248 1315766 2321072 2099928 3372313 PE(33:1p) − H 903743 496539 705154 679063 710887 1119170 PE(16:0/18:1) − H 3674815 2620161 2406102 2484273 2912718 4582132 PE(34:1e) − H 3930789 2940532 2474440 3132362 3487901 6300910 PE(16:0p/18:1) − H 55642480 39253682 35950078 40694139 41661111 72631371 PE(16:1/18:1) − H 1079465 582126 547000 749387 762330 1180379 PE(34:2p) − H 1839730 1207904 1354935 1652512 1924765 2984746 PE(16:0p/18:2) − H 4227446 2685483 3085951 3395463 3886736 5547793 PE(18:0/18:1) − H 11340890 7811024 7961603 6938323 7334625 13314806 PE(18:0e/18:1) − H 4316902 3518076 2792821 3240904 3735407 6075437 PE(18:0p/18:1) − H 54066906 36260521 32597299 35285393 40334232 70748309 PE(18:1/18:1) − H 11670295 9231838 8898946 8511974 9914551 15091442 PE(18:1p/18:1) − H 26808491 22917708 18908008 21821759 28678381 41213892 PE(18:0p/18:2) − H 10135135 7837039 7172352 7760336 9253548 14886682 PE(18:1/18:2) − H 605983 353804 358398 464863 528073 728493 PE(16:0p/20:3) − H 7055940 6380755 5433122 5443765 6793168 12925825 PE(16:0p/20:4) − H 8750192 7231959 8800934 7424227 8717467 14671467 PE(36:5p) − H 583346 147901 427459 214610 434422 1391145 PE(20:1/18:1) − H 843611 845936 829466 613446 470787 1084624 PE(18:0/20:2) − H 977179 1001059 705111 661540 774746 1227265 PE(18:0p/20:2) − H 3147747 3298923 3096878 3134453 3328251 5755997 PE(18:1/20:2) − H 644606 831645 729447 571635 741194 1087995 PE(18:0/20:3) − H 822655 704189 1094886 575801 981705 1080121 PE(18:0p/20:3) − H 8459059 7275978 7770000 6440927 7674115 12883313 PE(38:3p) − H 1941455 1832068 1455014 1569157 1749962 3371718 PE(18:0/20:4) − H 3101405 2666193 2834578 2173039 2086309 5223388 PE(18:1p/20:3) − H 3923194 3515701 3275846 2736430 4721849 5885507 PE(18:0p/20:4) − H 16780935 13978386 15402870 13548809 14239309 31132615 PE(18:1/20:4) − H 689015 670541 695704 639850 678666 1251839 PE(18:1p/20:4) − H 8309135 8501259 8196929 7289834 9364385 15176212 PE(38:5p) − H 1997401 1394232 2059438 1523582 1680179 3412340 PE(16:0p/22:6) − H 3008957 2368636 2575277 2259033 2822695 5717519 PE(40:4p) − H 1285881 1175993 1075705 963090 1237635 2112065 PE(18:0p/22:5) − H 6341812 3949646 5236486 3722745 4914949 10481870 PE(40:5p) − H 1099314 984994 913846 647611 884381 1577766 PE(18:1p/22:5) − H 1338473 1488843 1684049 1200405 1353040 2516287 PE(18:0p/22:6) − H 3972438 3382531 4093363 2825394 3236022 7810302 PE(18:1/24:0) − H 311901 238088 228092 232206 215615 365493 PE(50:2) − H 1005524 954836 600499 840041 829035 954214 PG(12:0/14:0) − H 778862 751787 786034 886930 722802 684809 PG(18:1/18:1) − H 679359 639578 1624713 2197066 3214381 1367647 PI(16:0/18:1) − H 9424925 6626824 8703877 4371912 6004310 10841649 PI(18:0/18:1) − H 18101102 16364444 19666540 9088733 13020178 18097026 PI(18:1/18:1) − H 13751746 10787284 14167932 7131297 11284150 19000924 PI(18:0/20:2) − H 4946120 3287562 4387715 1912738 4403415 2778679 PI(18:1/20:2) − H 2618637 2212748 2484554 1781400 2169038 3190556 PI(18:0/20:3) − H 6943837 6228542 8075780 4483756 5798218 10751576 PI(18:0/20:4) − H 17035253 10708750 16861168 8148968 13076195 24840850 PI(18:1/20:4) − H 287961 1266010 607255 733593 1006391 1894491 PI(18:0/22:4) − H 1080406 1115417 1299789 630077 811852 1337280 PI(18:0/22:5) − H 1120507 764545 942205 465617 779390 1137390 PS(12:0/14:0) − H 446810 362690 365026 407321 374932 359106 PS(18:0/16:1) − H 8268715 4949134 6550191 4779166 7728863 10374329 PS(35:1) − H 2924351 1496904 1470006 1339749 1516361 1964229 PS(17:1/18:0) − H 2471947 2147249 2440076 1451199 1576367 3397779 PS(18:0/18:1) − H 167102689 119649760 143690425 90644014 116354851 197535824 PS(18:0e/18:1) − H 4853460 3820314 4839820 2919212 3519713 6837569 PS(18:1/18:1) − H 9194266 6754491 8027641 5640061 5875839 9680330 PS(18:0/18:2) − H 7880013 5801947 7222412 5220068 5742639 10402688 PS(36:3p) − H 7633078 6703107 7416310 6323698 6492904 10986258 PS(37:0) − H 66650314 48250113 70052193 35212504 46133049 80874243 PS(19:0/18:1) − H 36339253 21526885 18947113 16597452 19390253 26717642 PS(37:1) − H 1490285 1230200 1235925 1091459 1106377 1765735 PS(37:2) − H 2442618 1570682 1294178 1322160 1543685 1712773 PS(20:0/18:1) − H 4404058 3438353 3842166 2467943 3232377 5076280 PS(20:1/18:1) − H 4447972 3647879 3171644 1468351 2896624 4625348 PS(18:0/20:2) − H 7301485 6132980 6804179 4283064 6532851 10844537 PS(38:2p) − H 868292 557395 539300 591168 509697 1082727 PS(18:0/20:3) − H 7291099 5913557 6277321 3075230 4133649 8275825 PS(18:0/20:4) − H 16230081 13766920 15571875 7992582 13196623 12118691 PS(38:6p) − H 1128932 979481 1380585 1009252 1217181 2419377 PS(39:1) − H 24120671 22985681 29804384 17316401 24036311 39411959 PS(39:2) − H 2186666 1356194 1539822 1142790 1149598 1675487 PS(39:3) − H 347503 2594189 3858644 1551287 103153 1098989 PS(39:4) − H 5368112 2963524 3154200 2495422 3334581 4466299 PS(18:1/22:0) − H 4064467 3910947 3839662 2517450 3511624 5597790 PS(18:1/22:1) − H 3408770 3588086 3990233 2412607 3464760 3787527 PS(18:1/22:2) − H 1900591 1419299 1770545 1001745 1410861 1663921 PS(18:0/22:4) − H 439453 24376 1323084 733550 83798 235578 PS(18:0/22:5) − H 2505071 1868756 1987230 1119427 1352943 2677997 PS(40:5) − H 918647 782875 799605 438104 636444 1227835 PS(18:1/24:0) − H 1779094 1588676 1707118 1285165 1539504 2224250 PS(18:1/24:1) − H 1309327 1699668 1528903 817297 1296234 2146994 SM(d31:1) + H 661321 39442 320879 242393 432634 801486 SM(d32:0) + H 2126244 1150012 1461213 1264922 1557618 2827620 SM(d32:1) + H 20813576 9887653 13209613 9420803 13501642 26642009 SM(d32:2) + H 458904 420542 479445 322512 460479 1013558 SM(d33:1) + H 20176171 12082191 15165424 9881287 13816429 22692799 SM(d33:5) + H 6655681 10365948 5994543 5789838 6753033 6067349 SM(d34:0) + H 74348703 38343858 42519960 32268555 43803065 99339303 SM(d34:1) + H 720958003 316727747 485339516 278121991 391114186 1145239538 SM(d34:2) + H 46429259 24835983 33744528 22937733 34010155 62982988 SM(d35:1) + H 9805746 5698520 7181681 4112566 5511952 13770024 SM(d35:2) + H 1022318 469336 783310 366076 438517 1396268 SM(d35:4) + H 1219039 605454 847635 521359 700116 1618402 SM(d36:0) + H 7328963 4292407 5027560 3365397 4533780 9924313 SM(d36:1) + H 54907427 27142651 32516465 17480858 26319513 73609304 SM(d36:2) + H 73447874 36400065 51621875 29077068 41004005 92640203 SM(d36:4) + H 129364326 36073210 64720825 25862014 44697675 189484155 SM(d38:1) + H 10928751 8448664 8192737 4663660 5920079 14480605 SM(d40:0) + H 6777251 6240481 6467063 4250276 5850613 7784881 SM(d40:1) + H 5321195 3301180 3456980 2931700 2960577 5389633 SM(d17:1/23:0) + H 77647588 57935569 56954593 36365164 48256698 96592883 SM(d40:2) + H 20148273 12043372 16079145 9871827 10367643 24131468 SM(d41:1) + H 29502586 21030836 20205698 20637081 23624592 29878221 SM(d41:2) + H 24595173 17713926 20309327 9317081 16938431 18494247 SM(d18:1/24:0) + H 32414981 25623789 29154664 20909991 23987512 34003673 SM(d42:1) + H 166038798 165707986 149865103 125824271 138966875 238445675 SM(d18:1/24:1) + H 506599392 378706422 418698134 249048472 323643458 726366870 SM(d18:1/24:2) + H 72319308 51039170 59775725 31725892 40856511 81325582 SM(d42:5) + H 3304635 1559076 2157023 827924 1384270 4405363 SM(d43:1) + H 6820186 4921753 4122241 5040782 5337809 7556288 SM(d18:2/25:0) + H 17119825 11991050 12580046 10240012 12843064 16158271 SM(d43:3) + H 2864266 2367593 2485033 1532869 1866262 3096500 SM(d43:4) + H 2486363 2400248 2112193 1914779 2254701 4635707 SM(d44:1) + H 4289607 3697676 3704597 2665198 2898206 4652818 SM(d44:2) + H 18273013 14139423 14425244 10407028 11349422 21240496 SM(d44:3) + H 10419505 7020260 8225159 4954560 5508703 16922243 SM(d44:4) + H 22148591 18165758 17943939 14457717 16811064 27270177 SM(d44:5) + H 76471759 47687528 58666392 33031699 49433776 118380147 SM(d44:6) + H 11507445 6706391 7295208 3601424 5492228 12759843 TG(16:0/14:0/14:0) + NH4 1520012 2642041 2166017 2045191 1966742 1871033 TG(44:5p) + NH4 10866658 11424737 12368285 7563479 10164188 14413003 TG(15:0/14:0/16:0) + NH4 4376313 6379941 6680392 5753912 5320679 4772871 TG(16:0/14:0/16:0) + NH4 3287947 5879047 4773183 4417473 4360536 3798349 TG(15:0/16:0/16:0) + NH4 5817155 9760490 7353934 6660437 7230331 7362384 TG(16:0/16:0/16:0) + NH4 8610155 13960240 11763798 9318170 9654277 8493829 TG(16:0/16:0/16:1) + NH4 3634548 5632293 4785307 4086280 4105906 3643224 TG(16:0/16:0/17:0) + NH4 3563345 6092571 5302713 4686056 4723196 4083586 TG(18:0/16:0/16:0) + NH4 12997842 21828186 19306947 7698317 6909395 8532186 TG(16:0/16:0/18:1) + NH4 4723975 6972172 6228199 5303522 5453287 4920543 TG(18:0/16:0/18:0) + NH4 24098293 29381643 29176733 10602096 8673417 11135253 TG(18:0/16:0/18:1) + NH4 3041252 4863162 3889854 2613999 2985202 2793863 TG(16:0/18:1/18:1) + NH4 4355829 8429628 5769497 5502647 4773535 5666641 TG(18:0/18:0/18:0) + NH4 10143089 17446411 14178580 6393429 5741955 6201394 TG(18:0/18:1/18:1) + NH4 2453354 3672295 3070653 2003892 2259814 2201605 TG(18:1/18:1/18:1) + NH4 3815697 5370092 4497566 5050375 5521008 4612804 TG(18:1/18:1/18:2) + NH4 1817698 1933037 1684654 2111086 1645265 1672020 8.12E+09 4.90E+09 6.03E+09 3.57E+09 4.61E+09 1.20E+10

Example 1—Identification of a Distinct Nanoparticle Population and Subsets of Exosomes

B16-F10 Melanoma-Derived sEVs were First Fractionated by AF4 (See Methods). A linear separation of the sEV mixture was achieved based on the hydrodynamic radius (black dots, Y axis) along the time course (X axis) (FIG. 1A). The online QELS monitor for real-time dynamic light scattering (DLS) measurement (red trace) determined the hydrodynamic radius of particles. UV absorbance (blue trace) measured protein concentration and abundance of particles at specific time points for corresponding particle sizes. Particles with a 35-150 nm diameter were successfully separated by AF4 (FIG. 1A). Five peaks (P1-P5) were identified, corresponding to the time and particle size, at which most abundant particles were detected. P1 represented the void peak, a mixture of all types of nanoparticles. P5 was composed of individual or aggregated particles and protein aggregates with much larger sizes, which are outside the separation range of the current AF4 protocol, and eluted when crossflow dropped to zero (FIG. 2A). The hydrodynamic diameters of peaks P2, P3 and P4 were 47 nm, 62 nm and 101 nm, respectively. To infer the hydrodynamic radius, correlation functions were fitted to single exponentials (FIG. 1B, representative P3 fraction graph).

Individual fractions were measured using Nanosight Tracking Analysis (NTA), validating consistent particle size for each fraction between 60 nm and 140 nm (FIG. 2B). DLS combined with AF4 showed a broader dynamic range than NTA for those particles with a smaller (˜70 nm) or larger (˜160 nm) particle size (FIG. 2C). Moreover, NTA of each individual fraction in the range of 60-160 nm revealed a monomodal profile with a peak of ˜77 nm (FIG. 2D).

Transmission electron microscopy (TEM) with negative staining of AF4 input and representative fractions across the full dynamic range revealed three populations of particles (P2, P3, P4; FIG. 1A) with distinct morphology and size (FIG. 1C). P2 represented a distinct population of nanoparticles not previously described, which were smaller than 50 nm (˜35 nm) and clearly lacked an external membrane structure (FIG. 1C); these structures were therefore named “exomeres”. The other two nanoparticle subpopulations are referred to as small exosomes (Exo-S; 60-80 nm [P3]) and large exosomes (Exo-L; 90-120 nm [P4]) (FIG. 1C). All three particle types were readily detected in the input TEM image (FIG. 1C). Western blot analysis confirmed exosome markers Tsg101 and Alix for Exo-S and Exo-L, and heat shock protein 90 (Hsp90) for exomeres (FIG. 1D). The sizes of each particle type measured in batch mode showed consistent results (FIG. 1E).

In summary, a single run of AF4 can efficiently discern exomeres and two distinct exosome subpopulations in a robust and highly reproducible manner (FIG. 2E, 2F). Freeze-thawing of samples led to inconsequential differences (FIG. 2G). However, changes in culture conditions led to differences in relative abundance of each particle type (FIG. 2H-2I).

Importantly, only a minor peak eluted in the time range similar to exomeres in a blank media control compared to CM of B16-F10 and MDA-MB-4175 when processed in parallel (FIG. 2J, 2K), thereby confirming that exomeres are indeed actively secreted by cultured cells and not mere aggregates present in media.

Using AF4, distinct particles were detected with diameters corresponding to exomeres and Exo-S/L in more than 20 cell lines analyzed (Table 9, FIG. 3A), findings confirmed by TEM analysis of pooled fractions from selected cell lines (FIG. 38).

TABLE 9 Cancer Cell lines Species Melanoma B16-F10 m B16-F1 m SK-Mel113 h A375M h A375P h Pancreatic Cancer AsPC-1 h Pan02 m PANC1 h HPAPII h BxPC3 h CRC HCT116 h SW620 h NSCLC PC9 h LLC m Prostate Cancer DU145 h PC3 h Breast Cancer 4TI m MDA-MB-231 h MDA-MB-1833 h MDA-MB-4175 h MDA-MB-831 h Leukemia K562 h NB4 h Transformed Non-cancer cells NIH3T3 m ET2B h Based on UV absorbance and TEM analysis, all cells secreted higher amounts of exomeres relative to Exo-S/L, except for B16-F10 and B16-F1 where Exo-S were relatively more abundant (FIG. 3A and FIG. 1A, 1B). Measurement of the hydrodynamic diameter of each of these particles using Zetasizer showed sizes similar to the B16-F10 preparations (FIG. 1E).

Exomeres and Exo-S/L were also detected in AF4-fractionated sEVs from CM of human melanoma tumor explants by TEM (FIG. 1F, arrows; FIG. 4A). Exomere and Exo-S size, measured in batch mode using Zetasizer, was comparable to results from tumor cell lines (FIG. 1G). AF4 profiling and TEM imaging analysis showed that the normal mouse tissue explants (mammary fat pad and lung) also secreted exomeres, and Exo-S/L nanoparticles (FIG. 4B).

Example 2—Biophysical Characterization of Exomeres and Exosome Subpopulations

Given the structural differences between exomeres and Exo-S/L, their biophysical properties, such as zeta potential and stiffness, were examined. Measuring zeta potential, an average surface charge, using Zetasizer, revealed all particles were negatively charged, with exomeres being the weakest negatively charged (−2.7 mV to −9.7 mV); Exo-L, the strongest (−12.3 mV to −16.0 mV); and Exo-S, intermediate (−9.0 mV to −12.3 mV) (FIG. 5A).

For particle stiffness, atomic force microscopy (AFM) was performed in solution (see Methods). Exomeres demonstrated the highest stiffness (145˜816 mPa) and Exo-L the lowest (26˜73 mPa), with Exo-S stiffness being intermediate (70˜420 mPa).

AFM analysis of exomeres derived from B16-F10. MDA-MB-4175, and AsPC-1 cell lines demonstrated exomere structural heterogeneity and average exomere heights of 5.9 nm, 7.0 nm and 5.8 nm, respectively (FIG. 5C, SD).

Collectively, these findings demonstrate the diverse biophysical properties exhibited by exomeres versus distinct exosome subpopulations. How size, charge, and mechanical properties influence the differential stability, trafficking and uptake of the nanoparticles in vivo requires further investigation (Beningo et al., “Fe-Receptor-Mediated Phagocytosis is Regulated by Mechanical Properties of the Target,” Journal of Cell Science 115:849-856 (2002); Key et al., “Soft Discoidal Polymeric Nanoconstructs Resist Macrophage Uptake and Enhance Vascular Targeting in Tumors,” ACS Nano 9:11628-11641 (2015), which are hereby incorporated by reference in their entirety).

Example 3—Distinct Proteomic Content and Cellular Functions Among Exomeres and Exosome Subpopulations

To characterize the molecular composition of exomeres and distinct exosome subpopulations, proteomic profiling of nanoparticles derived from B16-F10, Pan02, 4T1, AsPC-1, MDA-MB-4175 cells was conducted using label-free mass spectrometry. A range of 165-483 proteins were identified in exomeres, 433-1004 proteins in Exo-S, and 247-1127 proteins in Exo-L. Moreover, unique proteins were detected in each nanoparticle subtype (FIG. 6A), suggesting exomeres are unique entities released by cells rather than debris or fragments of exosomes.

Examination of the subcellular localization annotation of proteins revealed the specific enrichment of Exo-S/L in membrane-associated proteins, which were relatively depleted in exomeres (Table 10), consistent with the structural studies identifying Exo-SL as membrane-encapsulated particles and exomeres as non-encapsulated particles.

TABLE 10 EXOMERE EXO-S EXO-L Pathways FDR q-val Pathways FDR q-val Pathways FDR q-val Proteasame accessory <0.001 Intrinsic component of plasma membrane <0.001 Escrt complex <0.001 complex Endoplasmic reticulum <0.001 Late endosome membrane <0.001 Cytoplasmic side of membrane 0.001 lumen Cytosolic part 0.001 Endosomal part <0.001 Intercalated disc 0.001 Vesicle lumen 0.001 Phagocytic vesicle <0.001 Basolateral plasma membrane 0.002 Proteasome complex 0.001 Secretory granule membrane <0.001 Extrinsic component of 0.002 cytoplasmic side of plasma membrane Secretory granule 0.002 Vacuolar membrane <0.001 midbody 0.002 lumen microtubule 0.004 Phagocytic vesicle membrane 0.001 Heterotrimeric g protein 0.002 complex sarcoplasm 0.029 Late endosome 0.001 Cell cell contact zone 0.002 Inclusion body 0.030 Lytic vacuole membrane 0.001 Apical junction complex 0.004 Myelin sheath 0.031 endosome 0.001 Cell division site 0.005 Platelet alpha granule 0.032 Vacuolar part 0.001 Extrinsic component 0.005 lumen of plasma membrane Blood microparticle 0.032 vacuole 0.007 Late endosome membrane 0.006 Extracellular matrix 0.033 Multivesicular body 0.008 Extrinsic component of 0.010 membrane Chromosome 0.070 Lytic vacuole 0.010 filopodium 0.011 centromeric region mitochondrion 0.071 Endocytic vesicle 0.010 Side of membrane 0.012 Supramolecular fiber 0.074 Recycling endosome 0.011 Plasma membrane 0.012 protein complex Proteinaceous 0.083 Extracellular matrix_component 0.011 synapse 0.013 extracellular matrix Extracellular space 0.087 escrt_complex 0.013 postsynapse 0.015 Dna packaging 0.114 early_endosome 0.013 Synapse part 0.016 complex Microtubule 0.146 snare_complex 0.013 Snare complex 0.016 cytoskeleton Methyltransferase 0.151 plasma_membrane_raft 0.013 Cell junction 0.017 complex Cytosketetal part 0.166 membrane_protein_complex 0.014 Anchoring junction 0.017 microbody 0.186 cell_cell_adherens_junction 0.016 ruffle 0.017 Motile cilium 0.236 basement_membrane 0.022 Membrane region 0.018 polysome 0.238 proton_transporting_two_sector_atpase_complex 0.024 Trans Golgi 0.018 network transport vesicle Ciliary part 0.238 dna_packaging_complex 0.025 Neuron spine 0.018 Nuclear pore 0.246 endacytic_vesicle_membrane 0.025 Plasma membrane receptor 0.018 complex podosome 0.257 secretory_vesicle 0.025 Cell leading edge 0.019 Sperm part 0.258 Plasma membrane 0.032 Intrinsic component 0.023 protein complex of plasma membrane ESCRT- and Snare-related proteins, involved in vesicle budding, membrane fusion and exosome biogenesis (Colombo et al., “Biogenesis, Secretion, and Intercellular Interactions of Exosomes and Other Extracellular Vesicles,” Annu Rev Cell Dev Biol 30:255-289 (2014); Hessvik et al., “Current Knowledge on Exosome Biogenesis and Release,” Cell Mol Life Sci (2017), which are hereby incorporated by reference in their entirety), were identified within Exo-S/L. In particular, proteins associated with endosomes, multivesicular bodies, vacuoles, and phagocytic vesicles were enriched in Exo-S. Plasma membrane, cell-cell contact/junction, late-endosome, and trans-Golgi network proteins were enriched in Exo-L. Notably, proteins associated with extracellular matrix and space, proteasome accessory complex, endoplasmic reticulum, mitochondrion, and microtubule/cytoskeleton were packaged in exomeres. These findings imply possible fundamental differences in exomeres, Exo-S, and Exo-L biogenesis.

Principal component analysis (PCA) demonstrated closer correlation of protein expression for Exo-S and Exo-L compared to exomeres from the same cell-type (FIG. 7A). According to PCA and consensus clustering analysis, exomeres from different cell types exhibited a higher degree of similarity to each other than to Exo-S and Exo-L from the same cell type (FIG. 6B, 6C).

To identify the signature proteins in each particle subset, statistical analysis was performed on the expression levels of proteins identified in these datasets. 64 proteins were pinpointed for exomeres and 99 proteins for Exo-S/L (Tables 11-14), with a false discovery rate (FDR)<0.05, positive enrichment in each particle subset of interest, and detection frequency of >80% (i.e., a particular protein was positively enriched in at least 4/5 samples for each subtype of nanoparticles derived from 5 different cell lines).

TABLE 11 Average expression Frequency Fold change Fold change Symbol in exomere (%, n = 5) exomere vs Exo-S exomere vs Exo-L PPID 1.83E+08  80% Inf 21.5 GANAB 3.03E+08  80% 16.4 Inf MAT1A 9.11E+08 100% 10.4 Inf DPYD 1.61E+08  80% 10.1 Inf FAT4 3.48E+08 100% 9.3 91.9 GMPPB 1.15E+08  80% 8.3 Inf ERP44 2.64E+08 100% 7.5 Inf CALR 5.71E+08 100% 8.8 48.4 GPD1 2.93E+08 100% 7.1 Inf BZW1 1.86E+08 100% 9.5 24.3 PFKL 5.34E+08 100% 6.4 134.6  OLFML3 1.98E+08  80% 8.1 Inf HGD 4.03E+08 100% 5.9 Inf LGALS3BP 3.40E+09 100% 7.9 21.2 GCLC 3.87E+08 100% 5.6 Inf PEPD 8.00E+08 100% 5.8 87.6 MTHFD1 6.17E+08 100% 8.1 15.4 PGD 1.01E+09  80% 7.0 16.2 ACTR3 3.54E+08 100% 12.7  7.6 XPNPEP1 3.68E+08 100% 5.3 43.6 UGP2 8.77E+08 100% 5.8 24.6 SNX2 1.89E+08  80% 4.7 214.1  ALDOC 4.03E+08  80% 6.2 17.2 SEPT11 2.14E+08  80% 29.0  5.3 HSPA13 8.68E+08 100% 5.6 22.4 AARS 1.67E+08  80% 15.4  6.3 SERPINH1 6.42E+08 100% 4.7 48.8 CNDP2 4.63E+08 100% 4.4 76.7 PDE5A 2.22E+08  80% 4.4 79.7 AGL 3.14E+08 100% 4.4 72.8 EXT1 8.34E+08 100% 4.2 146.4  IDH1 4.82E+08 100% 5.1 20.6 SERPINC1 3.95E+09  80% 4.0 1601.2  RRM1 5.00E+08 100% 4.0 Inf CKB 3.61E+08  80% 3.8 97.1 HMGCS1 4.25E+08 100% 4.4 17.9 HPD 1.10E+09 100% 3.9 38.6 PSMC4 3.13E+08 100% 3.9 35.6 NPEPPS 2.09E+08  80% 4.0 24.4 CAT 4.57E+08 100% 3.9 32.2 EXT2 6.05E+08 100% 3.8 38.6 CORO1C 6.60E+08 100% 3.9 26.1 B4GAT1 6.53E+08 100% 3.5 63.7 RACK1 3.10E+08 100% 4.4 13.3 MAPRE1 2.46E+08  80% 4.6 11.1 PGM1 1.12E+09 100% 3.5 37.8 PDSA3 6.64E+08  80% 4.4 11.2 ADK 1.23E+09 100% 3.6 25.9 SHMT1 2.30E+08  80% 3.8 24.5 ACO1 1.72E+09 100% 3.3 65.1 GSN 1.29E+10 100% 3.2 96.9 ESD 4.15E+08  80% 5.0  6.3 PPP2R1A 6.38E+08 100% 3.7 10.1 ALDH1L1 1.73E+09 100% 2.9 36.4 OLA1 2.81E+08  80% 5.0  5.8 ACLY 8.92E+08 100% 3.1 20.8 EEF1G 7.95E+08 100% 3.3 13.6 FLNB 3.08E+08  80% 4.0  7.9 PSMD11 2.26E+08  80% 3.1 17.8 ANGPTL3 3.01E+08  80% 2.8 31.7 FERMT3 7.54E+08  80% 2.8 27.6 PYGL 1.60E+09 100% 2.8 28.6 MDH1 3.34E+08  80% 8.0  3.7 EIF4A2 5.83E+08  80% 2.6 86.4 “inf” stands for “infinity”, indicating proteins that are absent in Exo-S or Exo-L.

TABLE 12 Average expression Frequency Fold change Symbol in Exosome (%, n = 20) Exosome vs exomere GNA13 1.16E+09 80% Inf DNAJA1 9.79E+08 100%  Inf SLC38A2 9.48E+08 90% Inf TFRC 9.06E+08 100%  Inf BSG 8.57E+08 80% Inf LAMP1 6.77E+08 90% Inf EHD2 6.74E+08 80% Inf ANXA5 6.56E+08 80% Inf SLC1A5 5.89E+08 90% Inf NRAS 5.84E+08 100%  Inf CHMP5 5.69E+08 90% Inf DNAJA2 5.51E+08 90% Inf ANXA1 5.46E+08 90% Inf ANXA11 5.28E+08 80% Inf ATP1B3 5.28E+08 90% Inf SH3GL1 5.01E+08 90% Inf FLOT2 4.92E+08 100%  Inf RAP2B 4.83E+08 90% Inf FLOT1 4.31E+08 100%  Inf RALA 4.26E+08 80% Inf RAP2C 4.23E+08 80% Inf CEP55 4.18E+08 90% Inf STOM 4.13E+08 100%  Inf MMP14 3.60E+08 90% Inf CHMP2A 3.59E+08 90% Inf TM9SF2 3.04E+08 80% Inf MYO1C 3.02E+08 80% Inf DIP2B 3.01E+08 90% Inf GNA11 3.00E+08 90% Inf MET 2.91E+08 80% Inf CTNNB1 2.78E+08 90% Inf ANXA4 2.78E+08 80% Inf LYN 2.58E+08 90% Inf ATP2B1 2.54E+08 80% Inf GNG12 2.54E+08 80% Inf GNAQ 2.24E+08 90% Inf YES1 2.22E+08 100%  Inf RRAS 2.16E+08 80% Inf ITCH 1.86E+08 90% Inf ANTXR2 1.86E+08 90% Inf RRAS2 1.84E+08 80% Inf TGFBR2 1.81E+08 80% Inf ARF4 1.64E+08 90% Inf TOLLIP 1.60E+08 90% Inf ANXA7 1.59E+08 90% Inf SNAP23 1.58E+08 80% Inf VPS25 1.49E+08 80% Inf SLC12A2 1.46E+08 80% Inf CD2AP 1.44E+08 90% Inf STXBP3 1.40E+08 90% Inf EPS8 1.37E+08 80% Inf CHMP1A 1.36E+08 80% Inf JAK1 1.30E+08 90% Inf GRB2 1.20E+08 80% Inf MAP4K4 1.19E+08 80% Inf STX4 1.18E+08 80% Inf NEDD4L 1.15E+08 80% Inf RAB22A 1.04E+08 80% Inf ANXA2 1.08E+09 80% 54.6 MYOF 6.20E+08 100%  48.6 VPS4B 6.85E+08 90% 47.3 PDCD6 7.87E+08 90% 39.5 VPS37C 1.09E+09 90% 34.7 VPS4A 4.66E+08 90% 31.9 ITGAV 5.61E+08 100%  30.6 TSPAN14 4.39E+08 80% 26.6 TSPAN4 1.24E+09 80% 26.5 CHMP4B 8.65E+08 100%  26.1 ITGB5 2.93E+08 80% 19.5 IST1 1.03E+09 80% 19.0 EPHA2 9.45E+08 80% 16.5 GNAI3 2.15E+09 90% 12.5 RAB5B 2.99E+08 90% 11.6 GNAS 1.75E+09 100%  10.8 VPS37B 6.71E+08 100%  10.8 ITGA3 5.46E+09 80% 9.7 TSG101 1.11E+09 100%  9.5 CTNNA1 8.46E+08 90% 9.4 MVB12A 9.08E+08 90% 9.1 RDX 8.18E+08 80% 9.0 ATP1A1 1.96E+09 100%  8.9 PACSIN2 1.37E+08 80% 8.8 ITGB1 8.77E+09 100%  8.7 SLC3A2 2.39E+09 100%  8.6 RAB8B 5.71E+08 80% 8.6 ITGA6 6.84E+08 80% 8.6 RAB14 6.00E+08 100%  8.6 VPS28 1.37E+09 100%  8.0 CD9 8.89E+09 100%  7.9 LAMP2 3.95E+08 90% 7.8 RAB3S 7.70E+08 100%  7.5 BROX 4.16E+08 90% 7.2 CD44 9.51E+08 90% 7.0 MFGE8 5.72E+09 90% 6.9 CTNND1 3.39E+08 80% 6.8 ITM2B 5.79E+08 80% 6.7 GNAI2 2.49E+09 100%  6.3 ARRDC1 1.11E+09 80% 5.9 PDCD6IP 8.05E+09 100%  5.8 “inf” stands for “infinity”, indicating proteins that are absent in exomere.

TABLE 13 Average expression Frequency Fold change Fold change Symbol in Exo-S (%, n = 5) Exo-S vs exomere Exo-S vs Exo-L TTYH3 2.66E+08 100% Inf 7.8 FLOT1 7.46E+08 100% Inf 6.4 FLOT2 8.39E+08 100% Inf 5.8 TSPAN14 7.39E+08 100% 44.8 5.3 LAMC1 1.44E+08  80%  6.8 11.4 CD63 5.95E+09 100% Inf 3.3 MVB12A 1.44E+09  80% 14.5 3.8 ZDHHC20 1.56E+08  80% Inf 3.0 VAMP3 1.08E+08  80% Inf 2.8 VPS37B 1.03E+09 100% 16.6 3.3 ARRDC1 1.75E+09  80%  9.3 3.7 TGFBR2 2.60E+08  80% Inf 2.6 “inf” stands for “infinity”, indicating proteins that are absent in Exomere or Exo-L.

TABLE 14 Average expression Frequency Fold change Fold change Symbol in Exo-L (%, n = 5) Exo-L vs exomere Exo-L vs Exo-S SQSTM1 2.34E+08 80% Inf Inf STIP1 1.99E+08 100%  Inf Inf HINT1 1.68E+08 80% Inf Inf WASF2 1.58E+08 80% Inf Inf RASA3 1.48E+08 80% Inf Inf EPB41L2 1.45E+08 80% Inf Inf GIPC1 1.29E+08 80% Inf Inf S100A10 3.76E+08 80% Inf 89.7 MPP6 1.70E+08 100%  Inf 42.1 KIF23 3.38E+08 80% Inf 35.8 RACGAP1 2.43E+08 80% Inf 24.8 ANXA5 1.23E+09 100%  Inf 14.9 CASK 1.24E+08 80% Inf 14.8 DLG1 2.18E+08 100%  Inf 14.4 TJP1 1.02E+08 80% Inf 13.4 BAG5 1.36E+08 80% Inf 12.3 TXN 4.79E+08 80% Inf 12.3 ABI1 1.91E+08 100%  Inf 11.5 ANXA1 1.00E+09 100%  Inf 11.0 CAPG 1.17E+08 80% Inf 9.9 DBI 2.68E+08 80% Inf 9.0 S100A6 3.22E+09 80% 33.2 12.1 CHMP2B 1.78E+08 80% Inf 8.6 CHMP3 1.76E+08 86% Inf 7.9 ANXA2 1.91E+09 80% 96.7 7.7 MYO1C 5.24E+08 100%  Inf 6.6 ANXA4 4.79E+08 100%  Inf 6.2 SNX12 1.23E+08 80% Inf 5.8 LIN7C 1.97E+08 80% Inf 5.3 STXBP3 2.32E+08 100%  Inf 4.9 CEP55 6.92E+08 80% Inf 4.8 ALCAM 2.93E+08 80% Inf 4.7 VCL 2.95E+08 80% 20.0 6.0 CHMP1A 2.21E+08 100%  Inf 4.3 FARP1 3.59E+08 80% 14.1 6.2 ACSL4 1.64E+08 80% Inf 4.3 BAIAP2 2.28E+08 80% Inf 4.3 SH3GL1 8.10E+08 100%  Inf 4.2 DSTN 2.41E+08 100%   4.8 36.4 LGALS1 1.74E+09 80% 13.0 5.9 CYFIP1 1.66E+08 100%   9.4 7.1 CTNNA1 1.43E+09 100%  15.9 5.4 RAB31 2.28E+08 80% Inf 4.0 ARF6 2.05E+08 80% Inf 3.9 SLC1A5 9.38E+08 100%  Inf 3.9 EPS8 2.18E+08 80% Inf 3.9 FMNL2 2.11E+08 100%  Inf 3.9 PGAM1 5.42E+08 100%   4.3 26.8 CNP 1.37E+08 80% Inf 3.7 CHMP4B 1.39E+09 100%  41.9 4.0 ANXA3 4.14E+08 80% Inf 3.7 VPS4B 1.09E+09 100%  75.0 3.9 GNG12 3.99E+08 100%  Inf 3.6 PACSIN3 1.20E+08 100%  Inf 3.4 GLG1 1.25E+08 80% Inf 3.2 VTA1 3.19E+08 80% Inf 3.2 LYN 3.91E+08 100%  Inf 3.1 VPS37C 1.68E+09 100%  53.2 3.3 CHMP5 8.59E+08 100%  Inf 3.1 F3 8.48E+08 80% 28.6 3.4 DNAJA1 1.47E+09 100%  Inf 3.0 RHOC 1.09E+09 80% 26.0 3.4 GNA13 1.72E+09 100%  Inf 2.9 CHMP2A 5.33E+08 100%  Inf 2.9 ATP2B1 3.74E+08 100%  Inf 2.8 RDX 1.26E+09 100%  13.9 3.4 ATP1B1 3.67E+08 80% Inf 2.7 CAPZB 1.29E+08 80%  3.2 15.3 EHD1 4.39E+09 100%   6.2 4.5 DNAJA2 7.91E+08 80% Inf 2.5 CTNND1 5.21E+08 100%  10.4 3.3 “inf” stands for “infinity”, indicating proteins that are absent in Exomere or Exo-S. Remarkably, exomeres were significantly enriched in proteins involved in metabolism (see gene set enrichment analysis [GSEA] analysis below), including MAT1A, IDH1, GMPPB, UGP2, EXT1, and PFKL. The sialoglycoprotein galectin-3-binding protein (LGALS3BP) and key proteins controlling glycan-mediated protein folding control (CALR) (Molinari et al., “Chaperone Selection During Glycoprotein Translocation into the Endoplasmic Reticulum,” Science 288:331-333 (2000), which is hereby incorporated by reference in its entirety) and glycan processing (MAN2A1, HEXB, GANAB) (Fukuda et al., “Incomplete Synthesis of N-Glycans in Congenital Dyserythropoietic Anemia Type II Caused by a Defect in the Gene Encoding Alpha-Mannosidase II,” Proc Natl Acad Sci USA 87:7443-7447 (1990); Yang et al., “An intrinsic Mechanism of Secreted Protein Aging and Turnover,” Proc Natl Acad Sci USA 112:13657-13662 (2015); Martiniuk et al., “Identity of Neutral Alpha-Glucosidase AB and the Glycoprotein Processing Enzyme Glucosidase II. Biochemical and Genetic Studies,” The Journal of Biological Chemistry 260:1238-1242 (1985), which are hereby incorporated by reference in their entirety) are also enriched in exomeres, suggesting exomere cargo may mediate the targeting of recipient cells through specific glycan recognition and modulate glycosylation in recipient cells. Among proteins uniquely represented in Exo-S/L were annexins, ESCRT components (charged multivesicular body proteins/CHMPs, vacuolar protein-sorting proteins, HGS, Alix1/PDCD61P, and Tsg101), Hsp40 (DnaJ) family proteins, signaling transducer G protein subunits, integrins, Rab proteins, and solute carrier family members. Members of key signaling pathways, such as JAK1, TGFBR2, and MET, were also enriched in Exo-S/L. To evaluate the unique markers of Exo-S and Exo-L subpopulations, protein expression was compared between these two sample sets and exomeres separately using t-test. A second set of filters (protein intensity/area >10⁸ and fold change ≥5.0) was applied to the identified signature for exomeres and Exo-L, but not for Exo-S (FIG. 6D). Fewer signature proteins were identified for Exo-S compared to exomeres and Exo-L, most likely due to similarity of Exo-S to the other particles. Representative signature proteins identified by proteomics in each subset were validated by western blot analysis (FIG. 6E).

These proteomic datasets were further mined for conventional exosome markers, including flotillins, CD9, CD63, CD81, Alix1, Tsg101, HSC70 (HSPA8) and Hsp90 (FIG. 6F). Among the five cell lines, flotillins (FLOT1 and FLOT2) represented bona fide markers of Exo-S, while HSP90AB1 was preferentially associated with exomeres. Although CD9, CD63 and CD81 all demonstrated specific association with Exo-S/L subsets, they all showed a cell type- and particle-dependent preferential expression. Consistent with Kowal et al., “Proteomic Comparison Defines Novel Markers to Characterize Heterogeneous Populations of Extracellular Vesicle Subtypes,” Proc Natl Acad Sci USA 113:E 968-977 (2016), which is hereby incorporated by reference in its entirety, combining CD63, CD9 or CD81 will be necessary to isolate/label exosomes.

Numerous Rab proteins were found in Exo-S/L subsets, but few of them in exomeres (FIG. 7B), suggesting critical roles of Rab proteins for Exo-S/L formation and trafficking, but not for exomere biogenesis.

Next, the most abundant proteins in each subset of nanoparticles were examined. Hemoglobin, histones, cytoskeleton proteins (actins and tubulins), peptidylprolyl isomerase A (PPIA) and HSP ranked as the most abundant top 50 proteins in all three nanoparticle subpopulations (Table 1). Hsp40/DnaJ family (HSP70 co-chaperones) members were also found in the top 50 proteins for Exo-L. Interestingly, HSP90AB1 was preferentially packaged in exomeres, while HSP70 members (HSPA8, HSPA2 and HSPA5) were more abundant in Exo-S/L. Other proteins relatively enriched in exomeres included inter-alpha-trypsin inhibitor heavy chain family members (IT1H), gelsolin (GSN), talin 1 (TLN1), WD repeat domain 1 (WDR1), and proteins involved in metabolism, such as phosphoglycerate kinase 1 (PGK1), pyruvate kinase muscle (PKM), and enolase 1 (ENO1). Consistent with the analysis above, SDCBP, PDCD61P/Alix, tetraspanins (CD9, CD63, CD81 and others), G protein family proteins and integrins were highly represented in both Exo-S and Exo-L. Tetraspanins were preferentially enriched in Exo-S while G proteins and integrins were more prominent in Exo-L. Eukaryotic translation elongation factor 1 alpha 1 (EEF1A1) was most often present in exomeres and Exo-L. Other proteins preferentially associated with Exo-S included immunoglobulin superfamily member 8 (IGSF8) and its paralog prostaglandin F2 receptor inhibitor (PTGFRN), milk fat globule-EGF factor 8 protein (MFGE8), and components of the ESCRT-1 complex. Notably, annexins and S100 proteins were only represented in the top 50 proteins of Exo-L.

Furthermore, to exclude the possibility of lipoprotein contamination in exomeres, proteins that are typically associated with purified lipoprotein particles (high-, low-, and very low-density lipoproteins, i.e., HDL, LDL, and VLDL) were examined by proteomic MS analysis and then evaluated their presence in exomeres and Exo-S/L. Much fewer proteins were found in lipoproteins (Table 2) and only some of these proteins were detected in exomeres and Exo-S/L, suggesting most nanoparticle proteins are distinct from lipoproteins. A rough estimation showed that the lipoprotein-associated proteins account for 0-8% of total nanoparticle proteins (FIG. 7C). Moreover, EM analysis revealed that lipoprotein morphology/structure was clearly distinct from exomeres and Exo-S/L (FIG. 7D). Taken together, these analyses ruled out the possibility that exomeres were mere lipoprotein contaminants.

The possible contamination of exomeres with other types of protein complexes with high molecular weights was also ruled out when exomere proteins were surveyed for subunits of known complexes. The co-existence of multiple subunits of protein complexes of similar size to exomeres were not detected (Table 2) except for 10 out of 59 subunits of Parvulin-associated pre-rRNP complex in 4T1 exomeres, 17 subunits of ribosomes in AsPC-1 exomeres, and 7 out of 16 subunits of Kinase maturation complex 1 in MDA-MB-4175 exomeres. However, these proteins account for only 1.8%, 2.1% and 1.8% of total exomere proteins in each case, respectively, suggesting their contribution diminishes the purity of exomeres by ˜2%.

To gain insight into the function of these particle subsets, GSEA was conducted utilizing gene ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) and hallmark databases (Tables 3-5). Strikingly. GSEA demonstrated that exomere-specific proteins were selectively enriched in metabolic processes, including carbohydrate metabolism, protein synthesis, and small-molecules. At least 36 of the top 50 “GO-biological processes” pathways identified metabolic processes associated with exomeres in contrast to no metabolic processes associated with Exo-S/L (Tables 3-5). Genes encoding proteins involved in hypoxia, microtubule and coagulation were identified in exomeres (FIG. 7E). Exo-S were enriched in membrane vesicle biogenesis and transport, protein secretion and receptor signaling gene sets. For Exo-L, enriched gene sets included mitotic spindle, IL-2/Stat5 signaling, multi-organism organelle organization, and G-protein signaling. Profiles of top rank gene sets enriched in exomeres (glycolysis and mTORC1 signaling), Exo-S (endosome and protein secretion) and Exo-L (mitotic spindle and IL-2/Stat5 signaling) are displayed in FIG. 6G.

Example 4—Distinct N-Glycan Profiles of Exomeres and Exosome Subpopulations

Aberrant glycosylation is involved in pathological processes, including cancer (Pinho et al., “Glycosylation in Cancer: Mechanisms and Clinical Implications,” Nature Reviews Cancer 15:540-555 (2015), which is hereby incorporated by reference in its entirety). Here, the aim was to determine the N-glycan profiles of each particle subset in three cell lines by conducting lectin blotting analysis (FIG. 8A) and glycomic mass spectrometry.

E-PHA recognizing bisected N-glycans detected a major band at approximately 75 kDa in both Exo-S and Exo-L of B16-F10 and AsPC-1, with faint detection in exomeres across the three cell lines and Exo-S of MDA-MB-4175. E-PHA detected a high molecular-weight glycoprotein (240 kDa) in MDA-MB-4175 exomeres and a high molecular weight glycoprotein (150 kDa) in AsPC-1 and MDA-MB-4175 exomeres. L-PHA recognizing branched N-glycans detected a predominant band at 75 kDa in both Exo-S and Exo-L of B16F-10 and AsPC-1. Multiple bands ranging from 50 to 70 kDa were also detected in all exomeres (especially MDA-MB-4175). Using AAL, analysis of structures related to fucosylation (fucose linked α-1,6) to GlcNAc or fucose linked (α-1,3) to GlcNAc related structures revealed two abundant glycoproteins between 70 and 100 kDa in both Exo-S and Exo-L of B16-F10 and AsPC-1. Exomeres across all three cell lines and Exo-S of MDA-MB-4175 displayed strong fucosylation on high molecular-weight glycoproteins (200-280 kDa). SNA, recognizing α-2,6-linked sialic acid, detected the presence of high molecular-weight α-2,6-sialylated glycoproteins (200-250 kDa) in all exomeres. Moreover, a low molecular-weight protein (˜60 kDa) displaying α-2,6-linked sialic acid modification was uniquely detected in Exo-L (but not Exo-S) from B16-F10. For AsPC-1, exomeres were the major carriers of sialylated glycoproteins, while these sialylated structures were almost absent in Exo-L. Lectin-binding profiles did not overlap with the most abundant proteins in the SDS-PAGE gel, indicating the specificity of lectin recognition independently of protein abundance (FIG. 9A). Therefore, Exo-S and Exo-L versus exomeres display distinct N-glycosylation patterns. Notably, exomere and Exo-S/L-associated N-glycan profiles vary by cell type. Future studies will address the identity of these glycoproteins via glycoproteomic approaches.

The next aim was to identify profiles of the glycan structures enriched in each particle subset by MALDI-TOF mass spectrometry (MS). Two independent, semi-quantitative MS analyses were conducted on B16-F10-derived exomeres and Exo-S/L (FIG. 8B). FIG. 8C depicts the quantification of the top six most abundant N-glycan structures detected in one of the representative experiments. The ubiquitous expression of certain complex N-glycans was observed in all subsets, corresponding to peaks at m/z 2209.8, 2223.7, 2237.7 and 2365.5. Specifically, a complex N-glycan at m/z 2015.7 and a hybrid N-glycan at m/z 2404.8 were enriched in exomeres. Moreover, four of these six N-glycans contained sialic acid, and three of six were fucosylated. Similarly, the ions m/z 2015.7 and 2404.8 were enriched in exomeres from MDA-MB-4175 (FIG. 9B, 9D). The ion m/z 2404.8 was slightly enriched in AsPC1 exomeres, but the ion at m/z 2015.7 was not detected in AsPC-1 samples (FIG. 9B, 9C). Instead, the ion at m/z 2012.7 was strongly detected in AsPC1 exomeres and Exo-S. Two other ions, at m/z 2117.7 and 2389.9, demonstrating Exo-S enrichment, were detected in AsPC-1 only (FIG. 9B, 9D).

High-resolution MS analysis allowed further structural characterization of certain N-glycans (FIG. 9E-9J). This was the case of extracted ion chromatogram m/z 1111.39 (2-) and 1007.38 (2-) (corresponding to m/z 2223.7 and 2015.7 in FIG. 4c , respectively). In addition, the combination of CID-MS/MS de novo sequencing and PGC-LC relative retention times for extracted ion chromatogram m/z 1111.39 (2-) revealed that this N-glycan from exomeres contained both α2,3-linked and α2,6-linked sialic acids, whereas the glycan from Exo-S contained exclusively α2,3-linked sialic acids. The unique presence of m/z 1007.38 (2-) in exomeres was also further confirmed.

Taken together, the glycomics study demonstrated the prevalence of complex N-glycans in all particle subsets with relatively high levels of sialylation, consistent with previous findings of complex N-glycans and sialoglycoproteins in tumor microvesicles/exosomes (Escrevente et al., “Sialoglycoproteins and N-glycans from Secreted Exosomes of Ovarian Carcinoma Cells,” PloS One 8:e78631 (2013); Batista et al., “Identification of a Conserved Glycan Signature for Microvesicles,” Journal of Proteome Research 10:4624-4633 (2011); Saraswat et al., “N-linked (N-) Glycoproteomics of Urinary Exosomes,” Molecular & Cellular Proteomics 14:263-276 (2015), which are hereby incorporated by reference in their entirety). Furthermore, the study revealed differences in N-glycan composition and structures among exomeres, Exo-S, and Exo-L.

Example 5—Distinct Lipid Composition Among Exomeres and Exosome Subpopulations

To investigate the lipid composition of each subset of particles, quantitative lipidomics was performed on these nanoparticles derived from B16-F10, MDA-MB-4175 and AsPC-1. By lipid MS, it was found that Exo-S and Exo-L contained more lipids than exomeres for all cell lines (FIG. 10A, >5× fold in all subpopulations, except for Exo-S of MDA-MB-4175 (>3× fold)).

Eighteen lipid classes were commonly identified in all samples (Tables 6-8, FIG. 10B), and their relative frequency in each sample was compared. Phosphatidylcholine (PC) was the predominant lipid component in all subpopulations (46%˜89%) except for AsPC-1 exomeres (13%) (FIG. 10), which contained higher levels of diglyceride (DG, 38%) and triglyceride (TG, 26%) instead. Other phospholipids, including phosphatidylethanolamine (PE) and phosphatidylserine (PS), accounted for 2-6% of total lipids in Exo-S/L across all cell lines (FIG. 10B). However, PE and PS levels were lower in exomeres from MDA-MB-4175 and AsPC-1, but similar to Exo-S/L in B16-F10 (FIG. 10B, 10C). Phosphatidylinositol (P1) levels were lower than other phospholipids but had a pattern of distribution across nanoparticle subsets similar to that of PE and PS (FIG. 10B, 10C). Sphingomyelin (SM) accounts for 2-10% of the total lipid in all samples except for AsPC-1 Exo-S/L, which contained a higher level of SM (28%, FIG. 10B, 10C). Cholesterol data were not collected in this study.

The relative levels of ceramide (Cer), TG and lysophosphatidylglycerol (LPG) varied significantly between exomeres and Exo-S/L across cell lines (ANOVA test, q<0.05). Additionally, simple glycosphingolipid CerG2 and mitochondrion-specific cardiolipin (CL) were more abundant in exomeres of B16-F10 and MDA-MB-4175 compared to exosome subsets. In contrast, CerG2 and CL were more abundant in Exo-S/L compared to exomeres isolated from AsPC-1 cells. Monoglyceride (MG), phosphatidylglycerol (PG) and lysophosphatidylcholine (LPC) were more abundant in exomeres than in Exo-S/L from MDA-MB-4175 and AsPC-1, but present at equal levels in all three B16-F10 nanoparticle subsets. Lastly, lysophosphatidylethanolamine (LPE) was detected at higher levels in Exo-S/L from B16-F10 and MDA-MB-4175, but not from AsPC-1. Thus, the study revealed cell type-dependent differences in the total lipid content and composition among distinct nanoparticle subsets.

Collectively, these bioinformatic analyses of the proteomic content of each particle subset revealed the predominant link between exomere-associated proteins and metabolism and the link between Exo-S/L-associated proteins and multiple signaling transduction pathways, including biogenesis-related ESCRT complexes.

Example 6—Distinct Nucleic Acid Content Among Exomeres and Exosome Subpopulations

Since dsDNA was previously detected in tumor-derived exosomes (Thakur et al., “Double-Stranded DNA in Exosomes: a Novel Biomarker in Cancer Detection,” Cell Research 24:766-769 (2014), which is hereby incorporated by reference in its entirety), the relative abundance of DNA in exomeres and Exo-S/L was determined. DNA was detected in all three types of nanoparticles; however, relative abundance varied by cell-type (FIG. 11A). The relative amount of DNA was highest in exomeres derived from MDA-MB-4175 and in Exo-S from B16-F10 cells and AsPC-1. Bioanalyzer (Agilent) analysis revealed distinct size distribution of DNA associated with each subset of nanoparticles (FIG. 11B and FIG. 12). Exomere DNA was relatively evenly distributed in a broad range of sizes between 100 bp and 10 kb with a slight enrichment around 2 kb in several cases. In contrast, a strong enrichment between 2 kb to 4 kb was detected for Exo-S/L DNA, and the peak size of Exo-L DNA was slightly larger than that of Exo-S DNA. This phenomenon may be due to the structural capacity and different biogenesis mechanisms of each particle subset.

RNA was preferentially associated with Exo-S/L in both B16-F10 and AsPC-1 (FIG. 11C). RNA associated with exomeres and Exo-S showed a monomodal distribution (peak at 400 nt and 500 nt, respectively), whereas Exo-L RNA displayed a bimodal distribution (FIG. 11D) (additional peak >4000 nt). Specifically, 18S and 28S rRNAs were detected at very low levels in Exo-L, barely detected in Exo-S and absent in exomeres compared to cellular RNA. A strong small RNA peak (corresponding to tRNAs, microRNAs and other small RNAs) was detected in Exo-S and Exo-L, but not in exomeres. Remarkably, a unique RNA peak of unknown identity, of ˜315 nt in size, was detected only in Exo-L.

Example 7—Distinct Organ Biodistribution of Exomeres and Exosome Subpopulations

Next, the organ biodistribution of B16-F10-derived nanoparticle subsets in naïve mice was investigated. Twenty-four hours post intravenous injection of near infrared dye (NIR)-labeled exomeres, Exo-S and Exo-L into mice, organs were collected and analyzed using the Odyssey imaging system (LI-COR Biosciences; FIG. 13). Interestingly, all nanoparticles were uptaken by hematopoietic organs, such as the liver (˜84% of total signals), spleen (˜14%) and bone marrow (˜1.6%). The lungs (˜0.23%), lymph nodes (˜0.07%), and kidneys (˜0.08%) showed less uptake of all nanoparticle subtypes. Particle uptake was not detected in the brain. Subsequently, the dynamic range of signal intensity in each organ was adjusted to compare the uptake of each subset of nanoparticles in the same organ (FIG. 13A). Punctuated distribution patterns of nanoparticles were detected specifically in the lung and lymph nodes. This is in contrast to the homogenous distribution pattern found for all nanoparticle subsets in the liver, spleen, and bone marrow. Importantly, although exomeres and Exo-S/L were predominantly uptaken in the liver, Exo-L displayed lymph node tropism. In addition, though not statistically significant, a trend of higher uptake of exomeres in the liver was observed. Quantification is shown in FIG. 13B. Distinct organ distributions indicate that nanoparticle subsets may be involved in different aspects of tumor progression and metastasis.

Discussion of Examples 1-7

Dissecting the heterogeneity of EV populations by differential ultracentrifugation, immuno-affinity capture, ultrafiltration and size-exclusion chromatography, polymer-based precipitation, and microfluidics (Thery et al., “Isolation and Characterization of Exosomes from Cell Culture Supernatants and Biological Fluids,” Current Protocols in Cell Biology Chapter 3, Unit 322 (2006); Merchant et al., “Microfiltration Isolation of Human Urinary Exosomes for Characterization by MS,” Proteomics Clinical Applications 4:84-96 (2010); Lasser et al., “Isolation and Characterization of RNA-Containing Exosomes,” Journal of Visualized Experiments 59:e3037 (2012); Chen et al., “Microfluidic Isolation and Transcriptome Analysis of Serum Microvesicles,” Lab on a Chip 10:505-511 (2010); Jorgensen et al., “Extracellular Vesicle (EV) Array: Microarray Capturing of Exosomes and Other Extracellular Vesicles for Multiplexed Phenotyping,” Journal of Extracellular Vesicles 2 (2013); Tauro et al., “Comparison of Ultracentrifugation, Density Gradient Separation, and Immunoaffinity Capture Methods for Isolating Human Colon Cancer Cell Line LIM1863-Derived Exosomes,” Methods 56:293-304 (2012), which are hereby incorporated by reference in their entirety) in an attempt to separate nanoparticle populations has proven daunting. By employing state-of-the-art AF4 technology, two discernible exosome subpopulations, Exo-S and Exo-L, were separated and a distinct nanoparticle, named exomere, which differs in size and content from other reported particles, was identified. Unlike labor-intensive and time-consuming gradient methods, AF4 is highly reproducible, fast, simple, label-free and gentle. Moreover, the exosome subpopulations and exomeres were able to be efficiently resolved in a single AF4 run with real-time measurements of various physical parameters of individual particles.

The analyses revealed that exomeres were selectively enriched in proteins involved in metabolism, especially “glycolysis” and “mTORC1” metabolic pathways, suggesting their potential roles in influencing the metabolic program in target organ cells, as well as in proteins associated with coagulation (e.g., Factors VIII and X) and hypoxia. The proteomic analysis also showed that exomeres were enriched in key proteins controlling glycan-mediated protein folding control (CALR) (Molinari et al., “Chaperone Selection During Glycoprotein Translocation into the Endoplasmic Reticulum,” Science 288:331-333 (2000), which is hereby incorporated by reference in its entirety) and glycan processing (MAN2A1, HEXB, GANAB) (Fukuda et al., “Incomplete Synthesis of N-Glycans in Congenital Dyserythropoietic Anemia Type II Caused by a Defect in the Gene Encoding Alpha-Mannosidase II,” Proc Natl Acad Sci USA 87:7443-7447 (1990); Yang et al., “An Intrinsic Mechanism of Secreted Protein Aging and Turnover,” Proc Natl Acad Sci USA 112:13657-13662 (2015); Martiniuk et al., “Identity of Neutral Alpha-Glucosidase AB and the Glycoprotein Processing Enzyme Glucosidase 11. Biochemical and Genetic Studies,” The Journal of Biological Chemistry 260:1238-1242 (1985), which are hereby incorporated by reference in their entirety), suggesting exomere cargo may modulate glycosylation in distant recipient cells. Subcellular localization analysis of exomere-enriched proteins revealed their specific association with ER, mitochondria and microtubules, demonstrating the potential roles of these proteins in exomere biogenesis and secretion.

Proteins unique to exosomes (Exo-L and Exo-S) versus exomeres were also identified. Multiple components of ESCRT complexes were specifically associated with Exo-S and Exo-L, but not observed within exomeres, suggesting a major role for ESCRT complexes in Exo-S/L but not exomere production. Other exosome-enriched proteins included Rob proteins, annexins, Hsp40 members, and proteins involved in multiple signaling transduction pathways, such as integrins, G-proteins, JAK1 and TGFBRs.

Further differences were found between Exo-S and Exo-L protein cargo. Flotillin 1, flotillin 2, tweety family member 3, tetraspanin 14, and ESCRT-1 subunit VPS37B were specifically enriched in Exo-S. In contrast, levels of such proteins as annexin A1/A4/A5, charged multivesicular body protein 1A/2A/4B/5, vacuolar protein sorting 4 homolog B, DnaJ heat shock protein family (Hsp40) member A1, and myosin 1C were relatively higher in Exo-L. Interestingly, tissue factor, a well-studied exosome protein (Gardiner et al., “Extracellular Vesicles, Tissue Factor, Cancer and Thrombosis—Discussion Themes of the ISEV 2014 Educational Day” Journal of Extracellular Vesicles 4:26901 (2015), which is hereby incorporated by reference in its entirety), was enriched in Exo-L. It is thus plausible that exomeres and Exo-L cooperate to optimize the coagulation cascade in vivo.

Exo-S were predominantly enriched in proteins associated with endosomes, multivesicular bodies, vacuoles, and phagocytic vesicles, while Exo-L were specifically enriched in plasma membrane, cell-cell contact/junction, late-endosome, and trans Golgi network proteins. These data indicate that Exo-S are most likely bona fide/canonical exosomes (i.e., derived from intraluminal vesicles of endosomal compartments), whereas Exo-L may represent non-canonical exosomes or probably sEVs of different sub-cellular origin (i.e., plasma membrane budding).

Identifying specific exosome and exomere markers to better isolate and characterize these nanoparticles is critical to advancing knowledge of EV biology. Since Flotillin 1 and 2 were specifically associated with Exo-S, these proteins may represent reliable markers of conventionally defined exosomes. Other previously reported exosome markers, including CD9, CD63, CD81, Tsg101 and Alix1, were present in Exo-S and/or Exo-L in a cell type-dependent manner, and therefore would have to be combined with size exclusion to distinguish exosome subpopulations. Notably, Hsp90-0, highly represented in exomeres, could be a potential exomere marker, whereas several Hsp70 family members, such as HSC70/HSPA8 could serve as possible markers for Exo-S/L subpopulations.

The glycomic, lipidomic, and genomic studies also revealed additional distinct molecular signatures in exomeres and exosomes. Similar to the expression in metastatic tumor cells, exosome subsets were enriched with sialylated glycoproteins, supporting the role of these structures in exosome-mediated cellular recognition. One predominant sialoglycoprotein previously identified in exosomes (Escrevente et al., “Sialoglycoproteins and N-glycans from Secreted Exosomes of Ovarian Carcinoma Cells,” PloS One 8:e78631 (2013); Liang et al., “Complex N-linked Glycans Serve as a Determinant for Exosome/Microvesicle Cargo Recruitment,” The Journal of Biological Chemistry 289:32526-32537 (2014), which are hereby incorporated by reference in their entirety), the galectin-3-binding protein (LGALS3BP), a modulator of cell communication and immune responses (White et al., “Galectin-3 Binding Protein Secreted by Breast Cancer Cells Inhibits Monocyte-Derived Fibrocyte Differentiation” Journal of Immunology 195:1858-1867 (2015); Laubli et al., “Lectin Galactoside-Binding Soluble 3 Binding Protein (LGALS3BP) is a Tumor-Associated Immunomodulatory Ligand for CD33-Related Siglecs,” The Journal of Biological Chemistry 289:33481-33491 (2014), which are hereby incorporated by reference in their entirety), was highly enriched in exomeres. This ligand could mediate the specific interaction of exomeres with target cells through proteins, such as collagens, fibronectin, nidogen, galectin-3 and integrin beta-1 (Hellstern et al., “Functional Studies on Recombinant Domains of Mac-2-Binding Protein,” The Journal of Biological Chemistry 277:15690-15696 (2002); Sasaki et al., “Mac-2 Binding Protein is a Cell-Adhesive Protein of the Extracellular Matrix which Self-Assembles into Ring-Like Structures and Binds Beta1 integrins, Collagens and Fibronectin,” The EMBO Journal 17:1606-1613 (1998), which are hereby incorporated by reference in their entirety).

Interestingly, the lipidomics analyses revealed that exomeres contained fewer lipids compared to Exo-S and Exo-L. Phospholipids and SM, the major structural components of plasma lipid bilayer membrane (Van Meer et al., “Membrane Lipids: Where They are and How They Behave,” Nat Rev Mol Cell Biol 9:112-124 (2008), which is hereby incorporated by reference in its entirety) ranked top in all nanoparticles examined. Such an observation is expected for Exo-S/L subsets due to their vesicular membrane structure, however, exomeres seem to lack external membrane structures. Yet, differences in several lipid classes distinguished exomeres from Exo-S and Exo-L. For instance, exomeres were found to contain higher levels of triglycerides and ceramides compared to exosome subpopulations and thus may serve to transport these metabolites to recipient cells. The study further revealed that DNA packaging in exomeres and exosomes varied by tumor-type, while RNA was packaged in Exo-S and Exo-L independent of tumor classification.

Collectively, the findings demonstrate that proteins, glycans, lipids, and nucleic acids are selectively packaged in exomeres, Exo-S, and Exo-L, further supporting the idea that these are distinct nanoparticle subsets.

The observation that nanoparticle subtypes have different organ biodistribution patterns suggests they mediate the pleiotropic effects of cancer. The punctate pattern of Exo-L uptake and its apparent tropism for lymph nodes implicate this nanoparticle in facilitating metastasis of disseminated tumor cells. Exomeres, along with exosomes, were uptaken by hematopoietic organs, including the liver, spleen, and bone marrow. Interestingly, the predominant exomere uptake by the liver and the exomere enrichment in protein cargo involved in metabolism lead us to speculate that exomeres may specifically target the liver for metabolic reprogramming during tumor progression. The data indicate that the size of nanoparticles, in addition to their specific cargo, may influence metastatic patterning and systemic effects of cancer.

The identification of exomeres highlights the diversity of EVs and particles secreted by cells. Elucidating their biogenesis will be essential to unravel their roles in cellular and organ function. Target cells and the functional outcomes exerted by each nanoparticle subset in organs need to be further delineated to advance the understanding of the collective, systemic effects of nanoparticles in the metastasis process. Undoubtedly, these discoveries will open avenues for translational studies of EVs and particles in diagnostic, prognostic, and therapeutic applications.

Materials and Methods for Examples 8-12

Preparation of small extracellular vesicles (sEVs) from cell culture. With the aim to separate distinct cellular nanoparticles, such as exomeres and exosome subsets, sEVs isolated using dUC as the input samples for AF4 were studied. Alternative methods, such as DGF, UF and SEC, can also be used for sEV input sampling. EVs captured by IAC can be applied, as well, if the antibody can be removed from the EVs.

This protocol has been developed and optimized using sEVs derived from cell culture model systems. Conditioned media was sequentially spun to remove cells, cell debris, and large EVs and finally pellet down the sEVs. It has been reported herein that fresh versus frozen sEV samples do not markedly differ in AF4 profiles, indicating that the structural integrity of EVs is well preserved during the freeze-thaw process. Of note, the culture conditions, such as growing cells in hypoxic conditions, and the passage of cells can influence EV production and composition (i.e. the percent of each particle type in a sample). Thus, these changes in ENP composition may require modifications of the AF4 methods for further optimization to achieve desired separation quality.

As described infra, this protocol could also be applied to sEVs prepared from other resources, such as bodily fluids, including plasma. AF4 parameters, such as the cross-flow gradient, can be further adjusted to meet the specific requirements of particular samples (for example, existence of additional types of ENPs). However, for certain sample types, the EV composition is more complicated than that derived from conditioned media of cell cultures. For example, the presence of lipoprotein particles in blood plasma may interfere with the separation of exosomes due to their partial overlap in size. In this case, other means of prior removal of lipoproteins from the plasma sample is desired before loading them onto the AF4 channel.

AF4 fractionation of sEVs and online data collection and analysis. The AF4 operative method for separation of exomeres and exosome subsets (i.e., Exo-S and Exo-L) from cell culture-derived sEVs is illustrated in FIG. 21. Based on the complexity of the EV samples and the goal of each specific study, this running method can be further adjusted, as described infra.

For real-time monitoring and analysis of the fractionation of particles, several online detectors are usually installed immediately downstream of the AF4 channel. The laboratory has the DAWN HELEOS-II (MALS detector) with QELS (DLS detector) installed at the detector 12 (100°) position (Wyatt Technology) and the Agilent 1260 Infinity Multiple Wavelength Detector (set at 280 nm for UV absorbance detection) in place. The DLS measurement is mainly used to determine the hydrodynamic size of the fractionated particles in real time. The primary data from a DLS measurement is the autocorrelation function, which plots the average overall changes in the scattered light intensity of molecules with time (see example in FIG. 22). The exponential decay rate of the autocorrelation function determines the translational diffusion coefficient (D_(I)) of molecules in solution based on the following equation:

G(τ)=1+β exp(−2D ₁ q ²τ)  Auto correlation function

-   -   τ—delay time; q=(4πη₀/λ₀/sin(0/2).     -   β—intercept of the correlation function; η₀ is the refractive         index of the solution;     -   q—scattering factor; D is the scattering angle

Based on the Stokes-Einstein relation,

R _(h) =kT/6πηD _(t)

-   -   k—Boltzmann's constant     -   T—temperature;     -   ƒ—viscosity of solvent         an effective hydrodynamic radius (R_(h)) can be further deduced         from D₁. The assumption for this calculation is that the solute         (EV, in the present case) is a sphere undergoing Brownian         motion. R_(h) is the radius of a sphere with the same         translational diffusion coefficient as the analyzed solute.         R_(h) depends only on the physical size of the solute and its         size-related behavior, such as diffusion and viscosity, but is         not affected by its density or molecular weight. The measurement         range of 0.5 nm to 1000 nm radius makes DLS an effective tool to         measure the size of sEVs.

Combining AF4 with online DLS measurements is critical for accurate size determination. In a polydisperse sample, DLS measurement yields an average R_(h) and the specific information on each compositional species in a given sample is missing. However, fractionation results in the separation of solutes with different sizes and each fraction contains only a very small admixture of different R_(h) particles. Thus, fractionation allows the size of each species to be more accurately measured. For such monodisperse samples, the resulting autocorrelation functions are single exponentials, which are simple to interpret. Fitting the data to a single exponential function is performed in the Astra software using the Cumulants model (Wyatt Technology Corporation. DYNAMICS User's Guide. Version 7.0 (M1400 Rev. 1) Appendix A-2 (2010), which is hereby incorporated by reference in its entirety). By examining the ideal fitting to a single exponential, one can further evaluate the separation quality.

One requirement for accurate DLS measurement of R_(h) is that the sample concentration must be sufficient so that the sample scatters at least three times more light than the solvent to obtain an acceptable signal/noise ratio. In particular, small molecules, such as exomeres, scatter less light and require even higher concentrations of analyte to optimize results.

Besides DLS, static light scattering (SLS) detected by MALS measures the radius of gyration (R_(g)). R_(g) is defined as the mass averaged distance of each point in a molecule from its gravity center and is generally different from R_(h). Comparing R_(g) to R_(h) can further reveal the compactness of a solute (i.e., empty versus filled particles). In general, the MALS detector is more sensitive than DLS monitoring and thus it will be of specific use when only little amount of material available for analysis.

The UV detector is used as part of the instrumentation for online concentration measurements. The intensity of UV absorbance can provide us an approximation of the relative abundance of different species in the sample, despite not having defined extinction coefficients for different species in the EV sample mixture. The peaks of UV absorbance are useful in guiding the choice of combining fractions of similar particles. However, the bicinchoninic acid assay (BCA assay) and NTA is often conducted after fraction collection for quantification purposes. Once pure EVs are obtained and further characterization can be performed, the extinction coefficients of each species for improved interpretation of the UV absorbance data to concentration can then be determined.

One key consideration for online detectors is that it must have exceptional sensitivity due to the limited amount of material passing through the detector at each single time point. Besides the detectors mentioned above, other sensors, such as differential refractive index (dRI) and fluorescence detectors (FLDs), are often included as standard parts of the instrumentation for a variety of macromolecular characterization techniques. dRI, considered a universal concentration detector, is accurate and versatile in all types of solvents and independent of chromophores or fluorophores. FLDs are useful if autofluorescent molecules or artificial fluorescent labeling are present in specific subsets of EVs. It should be noted that, with additional detectors assembled online, the fractionated particles take a longer path and more time to reach the fraction collector. As a result, diffusion of molecules will lead to broadening of peaks, dilution of fractionated samples and reduction in separation resolution. Therefore, only detectors considered essential for the real-time monitoring should be installed.

Fraction collection, concentrations and characterization. AF4 fractions can be collected automatically or manually for downstream offline characterization. The Agilent Fraction Collector (1260 series) has been installed to automatically collect fractions into 96-well plates, but similar fraction collectors can be utilized for accurate and reproducible fraction collections. Fractions can be collected either by volume or over time, and fractions of particles with the same identity based on online and offline characterization can be further pooled together for downstream analysis. For example, as described supra, to identify exomeres and distinct subsets of exosomes, representative fractions were first examined across the whole time course of fractionation by online DLS and offline transmission electron microscopy analysis and then the fractions of particles with similar size and morphology were pooled together for further characterization. This step was also guided by the peaks of UV absorbance (indicating the most abundant fraction of each type of particles). To validate that the pooled fractions are relatively pure and not contaminated significantly by other types of adjacent particles, only fractions centered around the peaks were pooled together. Depending on the resolution of the fractionation, this fraction combination step can be empirically determined. Due to the different composition of EV subpopulations in a given sample, occasionally the UV peaks are not identifiable and thus the fraction combination will rely more on other properties, such as size and morphology.

The individual or combined fractions can be directly utilized for downstream analysis or subjected to a concentration step before further characterization. The collected fractions are usually concentrated using the Amicon Ultra-series of centrifugal filter units with Ultracel-30 (30 KDa cutoff) membrane (Millipore). Other alternative means of concentration, such as tangential filtration centrifugation, direct UF, UC, or IAC, can be applied depending on the need for the downstream analysis. A variety of analyses can be performed on fractionated EVs, including but not limited to: BCA assay, NTA, atomic force microscopy, electron microscopy, mass spectrometry of molecular contents (e.g., proteins, lipids, glycan, and metabolites), western blotting or the enzyme-linked immunosorbent assay, sequencing of genetic material (DNA and RNAs), DLS measurement in batch mode, and zeta potential measurement. The functional roles of the fractionated EV subpopulations can be further investigated in vitro or in vivo.

Reagents.

-   -   B16-F10 cell line (ATCC). Cell lines should be regularly checked         to ensure that they are authentic and free of Mycoplasma         contamination.     -   DMEM (VWR, Catalog No. 45000-304)     -   Premium Grade Fetal Bovine Serum (FBS) (VWR, Catalog No.         97068-085)     -   L-Glutamine, 100× (Corning, Catalog No. 25-005-C1)     -   Penicillin-Streptomycin Solution, 50× (Corning, Catalog No.         30-001-C1)     -   Sterile PBS (VWR, Catalog No. 45000-446)     -   TrypLE (Thermo Fisher Scientific, Catalog No. 12604-039P)     -   Pierce BCA Protein Assay Kit (Thermo Fisher Scientific, Catalog         No. 23225)     -   ATCC Universal Mycoplasma Detection kit (ATCC, Catalog No.         30-1012K)     -   Bovine serum albumin (BSA)(Sigma, Catalog No. A 1900)     -   Water filtered using the Milli Q system     -   Ethanol (Sigma, Catalog No. 459828)     -   Contrad 70 (Decon Labs, Inc Catalog No. 1003)     -   Sodium Dodecyl Sulfate (SDS)(Omnipur, Catalog No. 7910)     -   Nitric Acid (Fisher Scientific, Catalog No. 7697-37-2)

Consumable Equipment.

-   -   150×25 mm tissue culture dish with Grid (VWR, Catalog No.         25383-103)     -   5/10/25 mL Serological pipettes (VWR, Catalog No.         82050-478/82050-482/82051-182)     -   Disposable Tips (Denville, Catalog No.         P1096-FR/P1121/P1122/P1126)     -   500 ml Supor machV PES Filter Units (VWR, Catalog No. 73520-984)     -   mL 50 mL conical tubes (VWR, Catalog No. 82050-276/82050-346)     -   1.7 ml Microcentrifuge Tubes (VWR. Catalog No. 53550-698)     -   96-well plate (VWR, Catalog No. 62406-081)     -   Blue screw caps (Agilent, Catalog No. 5182-0717)     -   Screw cap vials (Agilent, Catalog No. 5182-0714)     -   vial insert, 250 ul pulled point glass (Agilent, Catalog No.         5183-2085)     -   96-well plate, 1.0 ml, polypropylene (Agilent, Catalog No.         8010-0534)     -   Sealing tape, clear polyolefin (Thermo Fisher Scientific,         Catalog No. 232701)     -   Ultracentrifuge tube (Beckman Coulter, Catalog No. 355628)     -   Amicon Ultra-15 Centrifugal Filter Unit with Ultracel-30         membrane (Millipore, Catalog No. UFC903024)     -   Amicon Ultra-4 Centrifugal Filter Unit with Ultracel-30 membrane         (Millipore, Catalog No. UFC803024)     -   Millipore Reg. Cellulose membrane 10 KD SC (Wyatt technology,         Catalog No. 4057)     -   Nadir Polyethersulfone membrane 10 KD SC (Wyatt technology,         Catalog No. 1903)     -   Inline filter membrane 0.1 μm (Wyatt Technology, Catalog No.         1871)     -   Dry wipes (Kimtech, Catalog No. 7552)     -   2 L glass bottles (VWR, Catalog No. 10754-822)     -   Hemocytometer (Weber Scientific, Catalog 3048-12)

Equipment.

-   -   Labconco Purifier Class II biosafety cabinet     -   Tissue culture incubator     -   EVOS FL Microscope (Thermo Fisher Scientific)     -   Optima XPN-100 Ultracentrifuge (Beckman Coulter, Catalog No.         A94469)     -   Type 45 Ti Rotor, Fixed-Angle, Titanium (Beckman Coulter,         Catalog No. 41103909)     -   Table-top Heraeus Multifuge ×3R Centrifuge Series (Thermo Fisher         Scientific, Catalog No. 75004501)     -   Microcentrifuge (Eppendorf, 5424R)     -   AccuScan GO UV/Vis Microplate Spectrophotometer (Fisher         Scientific, Catalog No. 14-377-579)     -   Milli Q system (Millipore)     -   4° C. Refrigerator (Thermo Fisher Scientific)     -   −20° C. freezer (Thermo Fisher Scientific)     -   −80° C. freezer (Thermo Fisher Scientific)     -   37° C. Incubator (Thermo Fisher Scientific)     -   Autoclave (Tuttnauer)     -   Dishwasher (Steelco)

AF4 Instrument Parts.

-   -   Agilent 1260 Infinity Analytical- and Preparative-scale Fraction         Collectors (G1364C)     -   Agilent 1290 Thermostat (G1330B)     -   Agilent 1260 Infinity Standard Autosampler (G1329B)     -   Agilent 1260 Infinity Multiple Wavelength Detector (G365D)     -   Agilent 1260 Infinity Isocratic Pump (G1310B)     -   GASTORR TG-14 HPLC vacuum degasser     -   Wyatt Technology DAWN HELEOS-II with QELS installed at detector         12 (100°)     -   Wyatt Technology Eclipse AF4     -   Wyatt Technology short channel     -   Computer installed with Chemstation and Astra 6 softwares

Software.

-   -   Chemstation (Agilent Technologies) integrated with the Eclipse         module (Wyatt Technology) to operate the AF4 flow     -   Astra 6 (Wyatt Technology) for MALS, DLS and UV data acquisition         and analysis

Reagent Setup.

-   -   B16-F10 cell culture medium 500 mL of DMEM is supplemented with         10% (vol/vol) FBS (exosome-depleted), 50 units/mL Penicillin, 50         μg/mL Streptomycin, and 2 mM L-Glutamine, and stored at 4° C.         for up to a month.     -   Exosome-depleted FBS FBS is depleted of exosomes by         ultracentrifugation at 100,000 g for 90 min and sterilized with         a 0.22 μm filter unit. Aliquots of exosome-depleted FBS can be         stored at −20° C. for long term. To avoid contamination, the         rotor needs to be first sterilized by wiping with 70% Ethanol         and all tubes for ultracentrifugation should be autoclaved. The         entire FBS handling process should be carried out in a         Biological Safety Cabinet for tissue culture.     -   20% (vol/vol) Ethanol. Milli Q filtered water is used to make         the dilution of ethanol. The final solution is made freshly and         filtered with a 0.22 μm filter unit.     -   0.5 mg/mL BSA solution. Dissolve BSA powder in PBS at a         concentration of 0.5 mg/mL and store aliquot at −20° C. for long         term.     -   1% (vol/vol) Contrad 70. Dilute Contrad 70 with Milli Q water to         a final concentration of 1% (vol/vol), and store at room         temperature (RT, ˜22° C.) for long term.     -   10% (wt/vol) SDS. Dissolve SDS powder in Milli Q water at a         concentration of 10% (wt/vol) (i.e. 10 g per 100 mL) and store         at RT for long term. This chemical is corrosive and toxic, and         can cause severe skin and eye irritation. Wear protective         gloves, mask, eyeshield, faceshield, and protective clothing to         handle.     -   10% (vol/vol) Nitric Acid. Dilute nitric acid with Milli Q water         to a final concentration of 10% (vol/vol), and store at RT for         long term. This chemical is highly corrosive and can cause         severe eye and skin burns, severe respiratory and digestive         tract burns. Wear proper protective equipment (gloves,         eyeshield, faceshield, clothing, respirators) and handle it in a         chemical hood. The waste should be treated as a hazardous waste         following state and local hazardous waste regulations.

Instrument setup. All the parts of the AF4 instrument should be installed, configured, calibrated and certified by the manufactures (Agilent and Wyatt Technology) before utilization.

Preparation of sEVs from the conditioned media of cell culture. B16-F10 murine melanoma is used as a model system in this protocol. A schematic flow diagram summarizing the key steps of the entire procedure and the flow route of AF4 is shown in FIG. 21.

-   -   1. Seed 2.25×10⁶ B16-F10 cells per P150 tissue culture plate in         25 mL of the DMEM complete medium supplemented with         exosome-depleted FBS, and seed a total of 12 plates. Cell lines         should be regularly checked to ensure that they are authentic         and free of Mycoplasma contamination. The passage number of the         B16-F10 cells influences sEV composition, reflected by the         changes in the relative abundance of different subsets of sEVs         (7). So, avoid comparing experimental data using B16-F10 cells         with a big difference in their passage numbers.     -   2. Keep cells in a humidified tissue culture incubator for 72         hours under standard conditions (5% CO₂, 37° C.). The cell         culture should just reach confluence without cell death and any         abnormal phenotypical changes. Cells should be allowed to reach         confluence to get highest sEV yield, but no cell death and         stressed phenotype should be apparent by the harvesting time to         ensure the purity of the sEVs.     -   3. Collect the conditioned media into 50 mL conical tubes and         centrifuge at 500×g at 10° C. for 10 minutes in the table-top         centrifuge. The supernatant can be spun at 3000×g at 10° C. for         20 minutes in the table-top centrifuge, transferred to new tubes         and placed at −80° C. for long term storage.     -   4. Transfer the supernatant to ultracentrifuge tubes (6×50         mL/tube) and centrifuge at 12,000×g at 10° C. for 20 minutes in         Type 45-Ti ultracentrifuge rotor (pre-chilled at 4° C.). For         ultracentrifugation, the opposing pair of tubes across the         center of rotation need to be balanced with each other. Do not         load more than 50 mL per tube to avoid sample spilling. The         rotors should be kept at 4° C. when not in use.     -   5. Transfer the supernatant to new ultracentrifuge tubes and         centrifuge at 100,000×g at 10° C. for 70 minutes in the same         rotor. At the end of each ultracentrifugation step, make sure         the supernatant is transferred immediately to avoid the         loosening of the pellet and either contaminating the supernatant         or losing the pelleted samples.     -   6. Discard the supernatant and resuspend the pellets in one         milliliters of ice-cold PBS gently. Avoid introducing air         bubbles. Combine all the samples into one ultracentrifuge tube         and bring the final volume to 50 mL with PBS.     -   7. Centrifuge at 100,000×g at 10° C. for another 70 minutes.         Resuspend the final pellet in ˜0.5 mL of PBS and transfer to 1.7         mL microcentrifuge tubes on ice (the sEV sample for AF4 fraction         in the next section). The pellet sometimes may be hard to break         and resuspended into a homogeneous suspension. If so, the         samples can be kept on ice for another 15 to 30 minutes or an         extra volume of PBS can be added to the sample. Then gently         pipette up and down to resuspend the samples and transfer to         Eppendorf tubes for quantification. Avoid introducing air         bubbles.     -   8. Quantify the sEV yield by measuring the protein concentration         using the Pierce BCA Protein Assay Kit. Follow the manufacture's         instruction to mix the samples or BSA standards provided by the         kit with the reagents in a 96-well plate and incubate at 37° C.         for 30 minutes. Read the absorbance at 562 nm using the AccuScan         GO UV/Vis Microplate Spectrophotometer and calculate the         concentration of the samples based on the BSA standards         included.     -   9. The samples can be immediately applied for AF4 fractionation,         or kept on ice overnight to be processed further the next day.         The samples can be frozen at −80° C. for long term storage.

AF4 Fractionation of sEVs.

Assemble the AF4 Channel

-   -   10. Before assembling the AF4 channel, one should select the         membrane type and cutoff size (e.g., RC membrane with 10 KDa         cutoff size) and the spacer with desired thickness (i.e. the         channel height, preferably 490 μm) first.     -   11. Rinse all parts with Milli Q water and assemble in the order         of the top plate, spacer, membrane and bottom plates with the         frit/O-ring in place). Bolt the parts together using a torque         wrench with 5 Nm and 7.5 Nm torques applied sequentially. Since         the sample specimen is positioned in the channel laminae very         close to the membrane, it is critical that the membrane should         be smooth and unruffled. Wear gloves and do not bend the         membrane during the assembly procedure. Since ethanol can cause         the “membrane swelling” phenomena and reduce the effective         channel height for fractionation, avoid exposing the membrane to         ethanol. It is critical that the channel be tightly sealed and         its height be precise and even across the whole channel. To         assemble the AF4 channel, a metered wrench such as a torque         wrench should be used to apply force precisely. A good practice         is to tighten the two bolts in the center first and then the         ones at the corners in diagonal order,     -   12. Connect the tubing to the inlet, crossflow and injection         ports but with the outlet port unconnected. Start to run water         at a channel flow rate of 1 mL/min (program the flow rate         settings and operate using ChemStation) through the system for         at least 30 minutes and let air in the channel run out from the         outlet port first. Then connect the tubing from the outlet to         the detectors. No air bubbles should be observed in the channel.         The instrument can be operated in the Night Rinse mode with a         constant channel flow of 0.2 mL/min overnight, up to a few days.         For short term storage, keep the system running in the Night         Rinse mode. Do not leave the system in still aqueous solvents         for a long period. For long term storage, dissemble the membrane         from the channel and maintain the system in 20% ethanol. Keep         the tubing from the channel to the detectors and the fraction         collector as short as possible to reduce the peak broadening and         sample dilution effects and to avoid decreases in separation         resolution.

Equilibrate and Coat the Membrane with BSA

-   -   Change the aqueous solvent to PBS, and keep running at a channel         flow of 1 mL/min for at least 30 minutes to 1 hour. The         instrument can be operated in the Night Rinse mode overnight,         with a constant channel flow of 0.2 mL/min. If the system has         been maintained in ethanol or isopropanol, it should be flushed         completely with water first before switching to PBS. Mixing PBS         with alcohol will cause salt precipitation.     -   13. Load 30 to 40 μg of BSA (0.5 mg/mL) onto AF4 and run the         sample using the same AF4 method as for sEV fractionation except         for the elution step, using a constant crossflow of 3 mL/min for         15 minutes for BSA instead. Repeat, by running BSA 1-2 more         times. The instrument can be operated in the Night Rinse mode         overnight, up to a few days after membrane coating. The purpose         of this step is to block non-specific binding of the samples to         the membrane. The sample to be analyzed, if extra sample is         available, can be used for this blocking step, too. This step is         only needed when a new membrane is installed. At the end of the         day, after all samples have been processed, turn on the COMET of         the DAWN HELEOS II detector for about 30 min to clean the flow         cell.

AF4 Fractionation of sEVs.

-   -   14. Instrument initialization:         -   (a) Open Chemstation and load the AF4 running method as             described in Table 15 (The running method is programmed,             edited and saved in the “Method” module of Chemstation).

TABLE 15 Channel flow Cross flow Start Cross flow End Time (min) Mode (mL/min) (mL/min) (mL/min) 2 Elution 1.0 0.5 0.5 1 Focus 1.0 — — 2 Focus + Inject 1.0 — — 45 Elution 1.0 0.5 0 5 Elution 1.0 0 0 5 Elution + Inject 1.0 0 0 Inject flow 0.2 mL/min: Focus fow 0.5 mL/min Focus valve position- Focusing (%): 30

-   -   -   (b) Set both thermostats for the autosampler and the             fraction collector at 4° C.; turn on the UV lamp for the MW             D detector (280 nm) at least 30 minutes before sample             analysis; turn on the laser for DAWN HELEOS II (664 nm).         -   (c) Turn on the fraction collector and choose the collection             mode (based on volume or time interval); install 96-well             plates for fraction collection (Ensure plates are installed             according to the configuration of the fraction collector).             Fractions are collected based on time intervals of 0.5             minutes, so two plates are needed to collect the fractions             from one sample). All operations should be done using the             ChemStation software except for switching on the laser of             DAWN HELEOS II using the instrument's front control panel.

    -   15. Open Astra 6 and start a new experiment file for data         collection:         -   (a) For Configuration, select “PBS, aqueous' as the system             solvent; specify UV wavelength at 280 nm” and enable “Band             Broadening” option; for HELEOS, enable “Band Broadening” and             “Temperature Control” options; and for QELS, select “Use             QELS dithering”.         -   (b) For Procedure: specify the time interval for MALS data             collection at 1 second and QELS interval at 2 seconds; set             the duration for data collection at 60 minutes; select             “Trigger on Auto-Inject”;         -   (c) Click the “Run” button and the data collection will             automatically start once triggered by the signal from the             autosampler.

    -   16. Prepare the AF4 input samples by adjusting the concentration         of the sEVs isolated in Step 9 to 1 μg/μl with PBS. Spin at         12,000×g at 4° C. for 5 minutes to remove insoluble aggregates         right before loading onto AF4.

    -   17. Transfer the supernatant into a pre-chilled screw cap glass         vial (250 ul pulled point glass vial insert can be used if the         total volume of the sample is small), and put it onto the         autosampler platform at the designated position from which the         autosampler is set to pick up the sample automatically.         Pre-spinning of the sample before loading onto AF4 is critical         to avoid analyzing artifacts of aggregates formed during the         high-speed ultracentrifugation.

    -   18. In the Autosampler module of Chemstation, specify the sample         volume to analyze (40 to 100 μl; i.e. 40 to 100 μg at 1 μg/μl),         and then click the “Single Sample” to start the fractionation,         real time data collection (MALS, DLS, and UV absorption), and         fraction collection (by time slice of 0.5 mL). The pilot study         has determined a range from 40 to 100 sg of B16-F10 sEVs is         suitable for the current AF4 running method that has been         developed. This can be further adjusted for specific samples due         to their composition complexity. It is critical to avoid getting         air bubbles into the system. Make sure that no air bubbles         trapped in the sample vial and have a larger volume of sample in         the vial than the volume to be analyzed.

    -   19. During the running of the sample, check the real flow rates         in the panel of “Wyatt Eclipse Status” and make sure they are         close enough to the set flow rates. If the real flow rates are         quite different from the set ones, something is wrong with the         flow control and repairing/maintenance by the manufacturer is         needed to ensure the fractionation quality. It is critical to         keep the channel flow rate (the detector flow) constant during         the fractionation. Changes in the flow rate can cause artifact         signal detection by the monitors.

    -   20. Once the fractionation is finished, take the 96-well plates         out of the fraction collector and seal them using adhesive tape.         Keep the plates on ice or at 4° C. for the next procedure.

    -   21. Click “Reset the fraction collector” so that the starting         position for fraction collection is reset to its original         position. Otherwise, the instrument will resume the fraction         collection of the next sample from the last fraction position of         the previous sample.)

    -   22. Proceed to “Online data analysis” described infra to         evaluate the fractionation quality.

    -   23. Proceed to “Fraction offline characterization” as described         infra or start the fractionation of the next sample (first         install new 96-well fraction collection plates and then start         fractioning the next sample by repeating steps 16-23). If         multiple samples need to be analyzed but the collection of         separated fractions is not required, a “Sequence” (a series of         methods and samples programmed to be run sequentially) can be         run instead of the method for a single sample. Users can refer         to the manual from the manufacturer for details.

    -   24. A good practice includes running a PBS blank control (or         other types of running buffer used to analyze the samples) using         the same AF4 running method for the samples on the same day.         This blank control can help evaluate the instrument performance         such as background noise level and identify systemic problems         than may influence sample analysis.

    -   25. After all samples have been analyzed for the day, turn on         the COMET of the DAWN HELEOS II for ˜30 minutes and switch off         the laser, UV lamp, thermostats and fraction collector. Change         the aqueous solvent to water and run in the Night Rinse mode         overnight or up to a few days. For long term storage, please         refer to Step 12.

Online data analysis. Online data analysis is performed using Astra 6. First, select the experiment to be analyzed and

-   -   (a) adjust the baselines: set up the baseline for the MALS         signal collected from the LS 11 (90°) detector first, and then         apply it to all the other detectors. Make sure to check         individual detectors to ensure the baselines are set up         correctly.     -   (b) Select peak regions to analyze: a single or multiple regions         can be selected to analyze simultaneously.     -   (c) Examine the fractionation quality by checking upon the         fitting of the autocorrelation function at representative         fractions to a single exponential model. The closer of R² to 1,         the better purity of the separation.     -   26. Open a new window of EAST Graph, and plot Hydrodynamic         Radius (R_(h)), QELS (DLS) and UV signals versus time. The         hydrodynamic radius (Rh) of particles is deduced solely from DLS         signal using equations described above. The Hydrodynamic Radius         (R_(h)) plot displays the size of particles eluted at each time         point. The UV signal intensity can reveal the relative abundance         of particles with different sizes. Based on these plots (and         together with potential offline characterizations), one can         judge the AF4 separation quality and the sample composition         (i.e. the relative abundance of particles with different sizes).         Other types of analysis can be plotted as well by choosing         different axes to display in EAST Graph according to the need.         Besides online UV detection, other means of quantification such         as BCA assay and NTA analysis can be used to measure the         concentration of the fractions. The sample concentration should         be high enough to scatter enough light for accurate R_(h)         determination, especially for small size particles as they         scatter much less light.

Fraction collection and concentration for offline characterization.

-   -   27. Depending on the characterization to be conducted, the         individual fractions can be examined directly or further         concentrated before examination. Adjacent fractions with similar         properties (especially from the same peak region) can be         combined and concentrated for downstream analysis. If a high         amount of material is required for the downstream         characterization, multiple runs of the same sEV sample can be         carried out following the same procedure and similar fractions         from each run can be combined.     -   28. Individual fraction or pooled fractions are concentrated         using Millipore centrifugal filter columns with Ultracel-30         membrane (30 kDa cutoff) in the following steps.         -   (a) The filter columns are first pre-rinsed by adding 5 mL             (for Ultra-4 filter column) or 15 mL (for Ultra-15 filter             column) of ice-cold PBS followed by spinning at 3,700×g at             4° C. for 5 minutes. The flow-through and liquid remaining             in the top filter columns are discarded.         -   (b) Pooled fractionated samples are then transferred into             the top filter column and spun at 3,700×g at 4° C. for 7-8             minutes. The concentrated samples are retained in the top             filter columns and buffer is collected at the bottom of the             collection tubes (the flow-through). Discard the             flow-through.         -   (c) Repeat step 31 (b) until each sample is concentrated to             the desired volume. For each sample, the same filter column             can be repeatedly loaded and spun to concentrate the sample.         -   (d) Transfer the concentrated samples to 1.7 mL             microcentrifuge tubes on ice. Record the volume and take an             aliquot for BCA measurements to determine the protein             concentration.         -   (e) The concentrated samples can be kept on ice for             short-term storage (up to 2˜3 days) or frozen at −80° C. for             long term storage. Downstream molecular characterizations             and functional study can be followed up on these             concentrated fractionated samples. For an unknown sample             that is analyzed using AF4 for the first time, check the             morphology of representative individual fractions by TEM             first before pooling fractions together for further             analysis. It is possible that particles with same             hydrodynamic size but different morphology are eluted             together from AF4. Other means to separate these particles             based on their distinct biophysical/biochemical properties             (such as density, surface molecule expression, and charge)             should be explored in combination with AF4 for further             fractionation, Pool fractions together based on the             hydrodynamic size, morphology and purity of representative             fractions. If baseline separation of two adjacent, distinct             populations of particles is not achieved, avoid collecting             those fractions in the “valley” between the peaks of two             populations for further characterization.

Troubleshooting. Table 16. Troubleshooting table.

TABLE 16 Step Problem Possible reason  9 Low sEV yield Low cell confluence by the CM harvest time Lost the sEV pellet of 100.000x g ultracentrifugation Abnormally high sEV yield Contamination due to inefficient washing Too much carry over of media in Step 6 Contamination from the pellet of 12.000x g ultracentrifugation 12 Leaking channel and/or tubing connection The AF4 channel was not assembled properly The Q-ring is damaged or not placed properly The screw thread is damaged or worn out 13 high LS background noise Particle contaminants in the system 14. 19 Nosignal or much lower Membrane installed improperly signal than expected for the sample Lost sample due to leaking channel connection Lost sample due to damaged membrane Inefficient focus 14. 19 High noise Contaminant present in the mobile phase solution Particle contaminants in the system 14. 19 Baseline drifting Particle contaminants in the system Laser performance quality decreased 14. 19 Sharp jump in signal Unstable voltage intensity Air bubble introduced into the system 14. 19 Sample elutes too early or Aberrant flow rate too late than expected 18 Too large pellet Insufficient resuspension of sEV pellet in Step 9. 19 A shift toward late elution Membrane used for extended period and bound non-specifically with contaminant 19 The signal not reaching the Not enough elution time baseline level by the end of AF4 fractionation 28 Curling-up tail of the R_(h) plot Inaccurate R_(h) determination from the DLS at the small R_(h) end measurement due to insuffient amount of the sample. especially for particles of small size Insufficient separation of the particles, especially at the beginning of AF4 fractionation Scattered R_(h) plot Inaccurate R_(h) determination from the DLS measurement due to insuffient amount of the sample, especially for particles of small size High background noise 28 Too big P5-corresponding Not enough elution time peak 30 No sample recovered Lost sample due to damaged membrane of the filter unit Step Solution  9 Seed a higher number of cells per plate or a bigger number of plates. or use a longer cell culture time Remove the supernatant immediately from the sEV pellet of 100.000x g ultracentrifugation Resuspend the pellet from Step 6 completely and use a large volume of PBS to wash in Step 7 Invert the tubes from Step 6 on paper towel to drain the leftover of media or suck it off using the vacuum system before washing with PBS Transfer the supernatant immediately to new tubes from the pellet of 12.000x g ultracentrifugation in Steps 4-5 12 Reassemble the channel following Steps 11-12. Make sure the channel is assembled using the proper and precise force with a torque wrench Change to a new O-ring if it is damaged; install it evenly and smoothly in the groove along the frit on the bottom plate of the channel Replace with new screws. or use a piece of Teflon (polytetrafluoroethylene (PTFE) film) tape to help seal the thread 13 Change the inline filter for mobile phase solution Thoroughly rinse the membrane with Milli Q water before assembling: equilibrate the membrane in the AF44 channel with PBS overnight: flush the channel thoroughly before connecting to detectors. 14. 19 Reassemble the channel and make sure the smooth side of the membrane facing the inside of the channel See above troubleshooting for the Step 12 “Leaking channel and/or tubing connection” Replace with new membrane Use a colored sample such as blue Dextran to test the focus efficiency. A narrow band of the sample should be located close to the inject port. If not, increase the focus time post the injection step 14. 19 Filter the buffer before use and use an inline filter (0.1 μm. and change it routinely. about once a month) If compatible with downstream analysis. include sodium azide in the mobile phase solution Use COMMET after running samples to clean the MALS flow channel Flush the channel and the system thoroughly with a large volume of filter water: If flushing with water does not solve the problem, clean the detectors by running and incubating in 10% SDS. 1% Contrad 70. or 10% Nitric acid for 30 min up to overnight. then thoroughly rinse with filtered water 14. 19 See above troubleshooting for the Step 14. 19 “High noise” Collect AF4 profile of PBS blank control right before or after the AF4 fractionation of the samples of interest. and then use the PBS control profile to perform baseline subtraction from the profile of the samples. Replace with new laser 14. 19 Use the power supply that provides stable voltage and current Degas the buffer before use and/or use an online degaser: make sure there is no air bubble in the sample vial and have an excess of sample to inject 14. 19 Compare the real flow rate versus the set flow rate shown in the panel of “Wyatt Eclipse Status” If the difference is big, repair by the manufacture isrequired. 18 Repeat pipetting up and down gently to resuspend the pellet. use a larger volume of PBS to resuspend the pelleted sEVs. To get more accurate loading of the sample, conduct the BCA assay upon the supernatant from the brief spin at 12.000 x g in Step 18. 19 Replace with a new membrane 19 Use a longer cross flow gradient time and/or a longer time for the last two steps (Elution. Elution + Inject) of the AF4 running method 28 Increase the amount of the sample to analyze Use other means such as EM and NTA analysis to validate the purity Increase the Focus time after the injection step Increase the initial cross flow rate and n longer time span of fractionation to allow better separation Increase the amount of the sample to analyze See above troubleshooting for the Step 14. 19 “High noise” 28 Use a longer cross flow gradient time 30 Save the flow through and apply to new filter unit for concentration

Timing.

-   I. Step 1-9, cell culture and isolation of sEVs: ˜3 days. -   II. Step 10-12, the AF4 channel assembling: ˜1 hour.     -   Step 13-14, Equilibration and coating the membrane with BSA: 2˜3         hours.     -   (Step 10-14 are only needed when a new membrane is installed.)     -   Step 15-26, AF4 fractionation of sEVs: 1-2 hours per sample. -   III. Step 27-28, online data analysis: ˜20 minutes per sample. -   IV. Step 29-30, fraction collection and concentration for offline     characterization: 1-2 hours.

Example 8—Cross-Flow

According to the AF4 theory, cross-flow is the driving force counteracting the Brownian motion of particles to resolve particles with different hydrodynamic sizes at different channel-flow laminae at steady state. Thus, cross-flow is a defining factor in AF4 fractionation quality. To determine the optimal cross-flow for exosome fractionation, various cross-flow settings were evaluated. Exosome fractionation profiles (fractograms of UV absorbance and DLS) were devised from representative cross-flow settings, as shown in FIG. 16. Specifically, linear gradients of cross-flow with different starting now rates (at 0.3, 0.5 and 1.0 mL/min) and slopes (i.e., how fast the cross-flow drops to 0 mL/min; tested conditions: a decrease in flow rate from 0.5 to 0 mL/min within 15, 30 and 45 min) were examined. Three major peaks (P2, P3 and P4) were observed when the cross-flow decreased from 0.5 to 0 mL/min within 45 min. These peaks represented the exomeres and two exosome subsets (i.e., small exosomes [Exo-S] and large exosomes [Exo-L]), respectively, as reported supra (FIG. 16A). Among the other peaks, P0 is the void peak, resulting from flow disturbance when switching from the focus/injection mode to the elution mode. P1 is a very minor peak, generated by the concomitant elution of the void peak and species that were smaller than exomeres. Depending on the ENP preparation, P1 was sometimes barely detected. PS was generated due to loss of control on flow rate when it decreased below ˜0.08 mL/min and all retained sample components (larger microparticles and/or aggregates of small particles) were eluted out. As shown in FIG. 16B, when the initial cross-flow rate was increased to 1.0 mL/min, no additional shoulder peaks were observed to separate further from peaks P2-P4, indicating the uniformity of these three populations of particles. A delay in the elution of all three peaks was observed. Moreover, a much higher P5 peak was observed and this is due to insufficient time for elution of large particles, including Exo-L, in the given time and based on the channel size. In contrast, when the initial cross-flow rate was set to 0.3 mL/min, the samples eluted much earlier, indicating that this flow rate was not fast enough to retain the sample constituents inside the channel and resolve them efficiently. Therefore, an initial cross-flow rate of 0.5 mL/min was used throughout the procedure.

Next, the impact of different slopes of the cross-flow gradient on separation quality was evaluated. A linear decrease of the cross-flow rate from 0.5 to 0 mL/min within a time span of 15, 30 and 45 minutes were compared. Clearly, the peaks became narrower and the separation quality was compromised when shorter time spans were used (FIG. 16C). In addition, a larger P5 peak was observed when a shorter time span was used, indicating insufficient time for elution of large particles.

On the contrary, when longer time spans were used, the peaks broadened but with improved separation quality. This setting is desired when high-purity particles in discrete fractions need to be recovered for further offline characterization. However, when longer time spans are used, other practical issues, such as the dilution of samples and the sensitivity limit of online detectors for accurate measurement, have to be taken into account. Therefore, it was aimed to separate distinct subsets of exosomes (<150 nm), which were clearly separated from each other when a time span of 45 minutes was applied (longer time spans were not tested). A linear gradient of the cross-flow decreasing from 0.5 to 0 mL/min for 45 minutes was chosen for the study.

Example 9—Channel Height

Based on the working principle of AF4, the channel's geometry, including its width, height and shape, is critical for fractionation quality. The short channel utilized in this study is a product of Wyatt Technology (Santa Barbara, USA), which has a trapezoidal geometry (Cölfen & Antonietti, “Field-Flow Fractionation Techniques for Polymer and Colloid Analysis,” Adv. Polym. Sci. 150:67-187 (2000); Litzen & Wahlund, “Zone Broadening and Dilution in Rectangular and Trapezoidal Asymmetrical Flow Field-Flow Fractionation Channels,” Analytical Chemistry 63:1001-1007 (1991), which are hereby incorporated by reference in their entirety) with a tip-to-tip length of 152 mm and a linear decrease of the channel width from 21.5 mm (close to the injection port and about 12 mm away from the inlet tip) to 3 mm. With the shape and width already optimized and fixed, the height (i.e., the thickness of the channel, determined by the spacer used between the upper wall and the bottom accumulation membrane) was the only parameter available for further optimization. A series of spacers with different thicknesses (190, 250, 350 and 490 μm) were provided by the manufacturer. The channel height affects the parabolic laminar flow rate profile and thus the separation resolution. It also affects the channel capacity, with a thicker channel allowing for analysis of larger sample amounts. Since enough sample needed to be recovered for downstream analysis, the loading capacity is an important factor for the fractionation and so employing only spacers with a thickness of 350 μm and 490 μm were considered. As shown in FIG. 17, the channel with the 350-μm spacer eluted samples earlier but with narrower peaks and a reduced separation resolution compared to the channel with the 490-μm spacer. Therefore, the 490-μm spacer was chosen for the work.

Example 10—Focusing

A 100-μL sample loop was used in the instrument for sample loading. It is a significant portion of the total channel capacity, which usually ranges from 200 μL to 1000 μL. Once injected into the channel, the sample would spread throughout the channel and lead to insufficient fractionation. To avoid this, a flow opposing the channel forward flow was introduced from the outlet and, together with the channel flow, focused the sample into a narrow band close to the injection port (i.e., focus mode). First, the focus flow was established and then the samples were injected in the focus mode and given enough time to reach steady-state equilibrium before elution. The focusing flow rate and focusing time determine focusing efficiency. Here, the focusing flow rate was fixed at 0.5 mL/min, the same as the initial cross-flow rate for elution, and then tested different time periods (2, 5, and 10 minutes) for focusing efficiency. As shown in FIG. 18, different focusing times did not significantly affect peak shape or resolution power. Moreover, before exomere elution occurred, the fractograms of both UV and DLS reached similar baselines. Notably, it was observed that the PS signal intensity increased as focusing time increased, suggesting potential particle aggregation caused by extensive focusing. Therefore, a focusing time of 2 minutes was chosen for the study.

Example 11—Membrane Choice

Since the sample fractionation is performed close to the membrane, in addition to the pore size of the membrane, the compatibility of the membrane material with the samples also needs to be considered. For example, the sample may bind to the membrane non-specifically. Two different types of membranes that are commonly used for biological material concentration or filtration, regenerated cellulose (RC) and polyethersulfone (PES), were tested for exosome fractionation. While keeping other AF4 parameters exactly the same, a delay of sample elution and broader peaks was observed in the channel with PES compared with RC, suggesting potential non-specific interactions between samples and the membrane (FIG. 19). Therefore, the RC membrane was selected for the studies.

Example 12—Amount of Input Sample

Once the key fractionation parameters were determined, the loading capacity of AF4 was then examined. The minimal amount of material required for AF4 is determined primarily by the sensitivity limit of the online detectors, such as DLS and UV monitors. The signal/noise ratio must be adequate for accurate data collection and interpretation. The maximal amount of material is determined by the required resolution of fractionation, which depends on the purpose of the experiment and the complexity of the sample to be analyzed. To efficiently separate exomeres and the two exosome subsets that are reported herein from small (s)EVs prepared using UC, different amounts of B16-F10-derived sEV input samples ranging from 15 μg to 165 μg were tested. As shown in FIG. 20, 15 μg was the lower limit of material for this analysis, as a high level of noise began to be detected, especially at the low end of hydrodynamic size. Inputs of 40 μg and 100 μg yielded almost identical fractionation profiles and hydrodynamic size determinations, indicating comparable fractionation resolution and robust signal detection. However, when the amount of input increased to 165 μg, the elution of all peaks was delayed significantly, resulting in incomplete elution of Exo-L. Bleed-through of each particle population to the adjacent populations increased (and thus poorer separation occurred), as indicated by the increased signal intensity at the valleys between peaks. Therefore, an input ranging from 40 μg to 100 μg was used for this study.

Discussion of Examples 8-12

As illustrated in the above assessments, AF4 technology provides unique capabilities to separate nanoparticles with high resolution within a large size range. Through the highly robust and straightforward means of AF4, distinct exosome subpopulations and exomeres were able to be efficiently separated. These findings exhibit AF4s potential usefulness in identifying other distinct EV subpopulations. Coupled with online monitoring (e.g., multi-angle light scattering [MALS]. DLS, UV absorbance and fluorescent detection) and offline analyses (e.g., microscopy, mass spectrometry of proteins, lipids, glycans and metabolites, and DNA and RNA sequencing), AF4 can yield valuable data on ENP analytes, including particle morphology and size, relative abundance, molecular composition, and other biophysical and biochemical properties. A powerful tool, AF4 can help researchers decipher the complexities and heterogeneity of ENPs that cannot be well addressed with other existing techniques.

The AF4 protocol describes the fractionation of exomeres and exosome subsets from sEVs isolated from the conditioned media of B16-F10 cells and a panel of more than 20 different cancer cell lines and 5 normal cell lines. This AF4 method can be used to fractionate and characterize sEVs isolated from an array of bodily fluids (including blood plasma or serum, lymphatic fluid, bone marrow plasma, cerebrospinal fluid, urine, saliva, bronchioalveolar lavage, milk and amniotic fluid), given their similar particle compositional complexity. Since all cells are capable of shedding EVs, this protocol can be employed to study the EV biology of any organism.

Not only for biological discovery, this protocol can also be modified for use in the field of quality control in exosome-based pharmaceutical production. Exosomes have become attractive therapeutic delivery vehicles for treating cancer and other types of diseases (Batrakova & Kim, “Using Exosomes, Naturally-Equipped Nanocarriers, for Drug Delivery,” J Control Release 219:396-405 (2015), which is hereby incorporated by reference in its entirety). AF4 coupled with sensitive molecular assays can serve as an improved analytic tool to evaluate purity, drug loading efficiency, and the integrity of the exosome product by detecting debris or aggregates.

Last but not least, this protocol can serve as a reference to further develop and optimize methods for fractionating and characterizing other types of ENPs. Some unique advantages of AF4 are its high resolution and large size range of fractionation and that different conditions, such as cross-flow setting and focus time, can be easily tested by simply programing the settings into the software, with minimal handling of the channel. Besides their use in analyzing exosomes and other sEVs, fractionation protocols for large EVs, such as larger microparticles and oncosomes, can be further developed. Specific caution should be taken when fractionating large particles since they may be too large to elute in the normal mode (when the particle is small and considered as point-mass compared to the channel height) but in the steric model instead (FIG. 15). Moreover, other fields, such as electric field, can also be applied to AF4 to stratify particles based on additional biophysical properties other than size, allowing even broader application of AF4 technology.

Taken together, the separation and characterization of distinct EV subpopulations by AF4 are critical to advancing knowledge of the biology of EVs and their functional roles in physiological and pathological conditions. By profiling the molecular cargo of EVs, signature proteins, lipids, glycans and genes as well as specific signaling pathways associated with disease progression can be identified, facilitating the identification of potential diagnostic/prognostic biomarkers, including those related to cancers. Such knowledge will also provide a rationale for developing ENP-based therapies in clinical trials.

Comparison with Other Methods

A multitude of technologies, in addition to AF4, have been developed to isolate pure exosomes and other EV subpopulations. The most commonly used technique makes use of dUC and separates the particles based on their hydrodynamic size and density. Successive centrifugation at different centrifugal forces eliminates dead cells and cellular debris (500×g, 10 min), large oncosomes and apoptotic bodies (2000˜3000×g, 20 minutes) and larger microparticles (10,000-12,000×g, 20 minutes), and subsequently pellets sEVs (100,000×g, 70 minutes)(Théry et al., “Isolation and Characterization of Exosomes from Cell Culture Supernatants and Biological Fluids,” Curr Protoc Cell Biol Chapter 3, Unit 3.22 (2006); Jeppesen et al., “Comparative Analysis of Discrete Exosome Fractions Obtained by Differential Centrifugation,” J Extracell Vesicles 3:25011 (2014); Cvjetkovic et al., “The Influence of Rotor Type and Centrifugation Time on the Yield and Purity of Extracellular Vesicles,” J Extracell Vesicles 3 (2014), which are hereby incorporated by reference in their entirety). Centrifuge rotor type, centrifugal force and centrifugation time are key factors influencing the product yield and purity of this method. Its performance also varies depending on the cell types studied (Willms et al., “Cells Release Subpopulations of Exosomes with Distinct Molecular and Biological Properties,” Sci Rep 6:22519 (2016), which is hereby incorporated by reference in its entirety), dUC can process large volumes and high amounts of sample, but the purity of the material recovered is poor. It can only roughly partition particles into groups, such as large vesicles, microparticles, and sEVs (enriched for exomeres and exosomes), with expected heterogeneity within each group and contamination for other groups. The high centrifugal force may also cause sample aggregation. With the present protocol, the advantage of dUC was used by first stratifying and concentrating the sEV population and then analyzing particles at much higher resolution to further fractionate exomeres and exosome subsets.

Density gradient floatation (DGF) is often used to further purify sEVs first isolated using dUC. In DGF, EVs are overlaid upon a gradient of increasing dilutions of a viscous solution (sucrose or iodixanol are commonly used) and, upon centrifugation, they migrate to the equilibrium density determined by the EV's size, shape and density. DGF is often used to remove non-membranous particles from EVs and has also been employed in several studies to address exosome heterogeneity (Aalberts et al., “Identification of Distinct Populations of Prostasomes that Differentially Express Prostate Stem Cell Antigen. Annexin A1, and GLIPR2 in Humans,” Biol Reprod 86:82 (2012); Bobrie et al., “Diverse Subpopulations of Vesicles Secreted by Different Intracellular Mechanisms are Present in Exosome Preparations Obtained by Differential Ultracentrifugation,” J Extracell Vesicles 1 (2012); Willms et al., “Cells Release Subpopulations of Exosomes with Distinct Molecular and Biological Properties” Sci Rep 6:22519 (2016), which are hereby incorporated by reference in their entirety). The major drawbacks of DGF, when compared to the performance of AF4, include its time-consuming preparations, lack of automation, operator-dependent reproducibility and low yield. Long periods of incubation with high sucrose concentrations can also damage EV integrity, necessitating additional washing steps for its removal. In contrast, AF4 is rapid, fully automated, highly reproducible, robust, and compatible with many buffer choices that mimic physiological conditions. Resolution and size range in EV fractionation is far superior with AF4 than with DGF (Tauro et al., “Comparison of Ultracentrifugation, Density Gradient Separation, and Immunoaffinity Capture Methods for Isolating Human Colon Cancer Cell Line LIM1863-Derived Exosomes,” Methods 56:293-304 (2012), which is hereby incorporated by reference in its entirety).

SEC, a gentle means of nanoparticle fractionation, has been extensively used for protein and protein complex analysis in biochemical and biophysical studies. Recently, it has been adopted to fractionate EVs (Mol et al., “Higher Functionality of Extracellular Vesicles Isolated Using Size-Exclusion Chromatography Compared to Ultracentrifugation,” Nanomedicine 13:2061-2065 (2017); Nordin et al., “Ultrafiltration with Size-Exclusion Liquid Chromatography for High Yield Isolation of Extracellular Vesicles Preserving Intact Biophysical and Functional Properties,” Nanomedicine 11:879-883 (2015); Böing et al., “Single-Step Isolation of Extracellular Vesicles by Size-Exclusion Chromatography,” J Extracell Vesicles 3 (2014); Willis et al., “Toward Exosome-Based Therapeutics: Isolation, Heterogeneity, and Fit-for-Purpose Potency,” Front Cardiovasc Med 4:63 (2017), which are hereby incorporated by reference in their entirety). In SEC, particles are separated in a column filled with porous polymer beads (stationary phase) based on their size and shape. Smaller-sized particles with a globular shape can penetrate the porous beads more readily, taking a longer route and more time to elute, whereas the larger particles are excluded from penetrating the pores and subsequently elute more rapidly. The elution of particles with abnormal shapes is more complicated due to its potential steric interference with particle traveling through the pores. Compared to other technologies, SEC has a resolution most similar to that of AF4. Still, AF4 demonstrates superior resolution over a much wider size range (Fraunhofer et al., “The Use of Asymmetrical Flow Field-Flow Fractionation in Pharmaceutics and Biopharmaceutics.” Eur J Pharm Biopharm 58:369-383 (2004), which is hereby incorporated by reference in its entirety). SEC resolution drops when particles are close to or larger than the upper limits of pore size. Furthermore, SEC is not as flexible as AF4 in changing separation parameters and its size range of separation is fixed for a given column with a specific solitary phase. Moreover, AF4 contains a hollow channel with only a membrane at the accumulation wall but, unlike SEC, requires no stationary phase. This stationary phase in SEC generates shear stress and renders a much larger surface area than AF4 for nonspecific binding of analytes. Similar to AF4 methods, the input sample loading volume for SEC must be restricted and there is an upper limit for the sample capacity to compromise a balance between sufficient yield and exemplary fractionation quality. Sample stratification by dUC and concentration methodologies prior to separation greatly facilitates the separation power of SEC.

UF allows for straightforward isolation of EV populations based on their size by filtering the sample through a series of semipermeable membranes with defined pore sizes (i.e., as reflected by molecular weight cutoffs) (Xu et al., -Highly-Purified Exosomes and Shed Microvesicles Isolated from the Human Colon Cancer Cell Line LIM1863 by Sequential Centrifugal Ultrafiltration are Biochemically and Functionally Distinct,” Methods 87:11-25 (2015); Xu et al., “A Protocol for Isolation and Proteomic Characterization of Distinct Extracellular Vesicle Subtypes by Sequential Centrifugal Ultrafiltration,” Methods Mol Biol 1545:91-116 (2017), which are hereby incorporated by reference in their entirety). Smaller particles below the cutoff size can penetrate through the pores while larger ones are retained. UF provides a crude separation of EVs due to limitations of membrane pore size availability. Most EVs are not rigid spheres but rather flexible particles and can transfigure to pass through the pores, especially when pressure is applied. Another concern is the uniformity of membrane pore size, which is critical for separation purity. Though the separation power of UF is inferior to AF4, UF can serve as a means to pre-stratify and concentrate input samples for further analysis by AF4.

Distinguishable from methods which separate EVs mainly by their size, IAC relies on the antigenic recognition of EV surface molecules (primarily proteins). IAC is highly selective, fast and flexible to scale for either preparation or analytic purpose. This separation principle has been adapted for different formats of analysis and preparation, including precipitation using immunomagnetic beads, flow analysis, detection by microarray, microscopy, western or ELISA assay, and microfluidic separation (Thery et al., “Isolation and Characterization of Exosomes from Cell Culture Supernatants and Biological Fluids,” Curr Protoc Cell Biol Chapter 3. Unit 3.22 (2006); Chen et al., “Microfluidic Isolation and Transcriptome Analysis of Serum Microvesicles,” Lab Chip 10:505-511 (2010); Jorgensen et al., “Extracellular Vesicle (EV) Array: Microarray Capturing of Exosomes and Other Extracellular Vesicles for Multiplexed Phenotyping” J Extracell Vesicles 2 (2013); Ko et al., “miRNA Profiling of Magnetic Nanopore-Isolated Extracellular Vesicles for the Diagnosis of Pancreatic Cancer,” Cancer Res. 78:3688-3697 (2018), which are hereby incorporated by reference in their entirety). The inherent limitation of IAC is that knowledge about the surface antigen is a prerequisite. The other concern is that the IAC antigen may be represented in multiple subpopulations of EVs with divergent sizes and/or origins. Thus, the application of AF4 may further necessitate EV separation based on size. EVs captured by IAC are ideal for molecular content characterization but not for further functional studies due to inefficient removal of the capturing antibody, which may interfere with the functional assay or targeting and uptake by recipient cells. In contrast, AF4 is label-free and enables these functional analyses feasible.

Level of Expertise Needed to Implement the Protocol

The AF4 instrument is commercially available (e.g., Wyatt Technology) and the manufacturer can perform the initial set-up. The method development for specific sample analysis, routine maintenance of instruments, and troubleshooting require a good understanding of the working principles of AF4 and installed detectors, training for handing the AF4 channel and detectors, and being familiar with software used for AF4 operation and data collection. Previous experience with chromatography and/or microfluidics is helpful in mastering the AF4 application. However, once the AF4 fractionation method training has been achieved, only minimal skills, such as familiarity with software interface and proper instructions, are necessary to complete the fractionation process since nearly all the steps are automatic and programmed.

Limitations

One inherent limitation of AF4 is that it fractionates samples based on their size. As a consequence, particles with the same hydrodynamic size but with different morphologies, surface molecules and other biophysical properties cannot be separated from each other via AF4 alone. However, other fields, such as electric field, can also be applied in conjunction with AF4 to provide further separation according to additional characteristics such as particle surface charge. Special consideration is also required when developing a protocol for large particles whose sizes are too large to be considered as point-mass compared to the channel height. These large particles will elute in the steric mode rather than the normal mode, as illustrated in FIG. 1.

A second inherent drawback is that AF4 can accommodate only small amounts of sample (e.g., 40 μg to 100 μg in the present case), which is often not efficient for large-scale preparations in more detailed assessments of nanoparticle properties. The sample instead can be divided into multiple fractionation analyses for improved characterization of specific nanoparticle subsets. A third limitation of AF4 is that due to the loading capacity limitation, the input sample requires UC preparation or other means to first stratify and concentrate the analytes (i.e. sEVs in the present study) prior to fractionation.

Furthermore, it has to be pointed out that no single formula can be universally applied for analysis of different types of samples. The fractionation method and key parameters discussed above in the protocol development section have to be developed and optimized based on the complexity (i.e. size and abundance of each component) of the sample of interest. In certain cases, different running methods and instrument settings may have to be combined sequentially to efficiently separate different components within a complex sample.

A detailed protocol has been described herein for optimal sEV preparation and fractionation via AF4. The key steps for successful of AF4 separation are: (i) the preparation of sEVs from conditioned media of cell culture; (ii) development and optimization of the AF4 running methods; (iii) online data analysis and fraction collection for offline characterization.

Pre-stratification of the sEVs using methods such as UC is critical to reduce the complexity of the samples to be analyzed in their particle composition. This allows enough material for each subpopulation of sEVs present in the samples to be analyzed by a single run of AF4. Otherwise, a series of AF4 methods for best separation of particles within different size ranges have to be adapted. Another key factor for successful AF4 analysis and fractionation is the amount of input samples loaded onto the AF4 system. Overloading the system will result in poor resolution and inefficient separation of nanoparticles; whereas loading too little a sample will lead to poor signal detection and inaccurate data deduction, as shown in FIG. 19.

Five major parameters for AF4 running method optimization have been discussed, including cross flow, channel height, focus time, loading amount, and membrane type (see FIGS. 16-19). A representative AF4 fractionation profile of B16-F10 derived sEVs is shown in FIG. 22. Based on the method described here, three major subpopulations of sEVs are identified (FIG. 22A, i.e. exomeres, Exo-S and Exo-L, corresponding to peaks P2, P3 and P4, respectively). The autocorrelation function is a key factor to determine the purity of each fraction (FIG. 22B). The separated particles can be further recovered and usually need further concentration for a variety of offline analyses, such as TEM, NTA, BCA assay, biophysical/biochemical property characterization, molecular composition determination, and functional studies. Shown in FIG. 22C is TEM imaging analysis of combined fractions for B16-F10 exomeres, Exo-S and Exo-L, revealing the distinct morphology of each sEV subset.

Example 13—Examination of Systemic Functions of Exomeres, Exo-S, and Exo-L

To investigate their systemic functions, especially in liver, B16-F10 murine melanoma-derived exomeres, Exo-S and Exo-L were intravenously injected into naïve, syngeneic C57BL/6 mice. An equal volume of PBS was injected as the control. 24 hours later, livers were harvested from each group of treated mice and subjected to total RNA extraction and RNA sequencing analysis. As shown in FIG. 23A, a total of 5700, 5320, and 6291 genes were identified to be significantly (p<0.05) changed in their expression levels in the liver of mice treated with exomeres, Exo-S and Exo-L when compared with the PBS control group, respectively. Specifically, a list of 140 and 810 genes are uniquely changed in exomeres when compared with Exo-S and Exo-L, respectively.

To further compare the changes in gene expression among each group, one-way ANOVA analysis was performed and the result was illustrated in FIG. 23B for the top 2000 genes that are significantly changed. A large similarity was identified in all three groups of exomeres, Exo-S, and Exo-L treated mice when compared to the PBS control group. Specifically, shown in FIG. 24 are the top 50 gene lists that are up-regulated (FIG. 24A) or down-regulated (FIG. 24B) in all three groups when compared to the PBS control group, respectively. These genes can therefore serve as potential biomarkers for detection of disease, monitoring liver dysfunction, and therapeutic targets to intervene with tumor progression in cancer patients. For example, the Serum Amyloid A family genes (Saa1, Saa2 and Saa3), S100 calcium-binding protein AF4 (S100A4), and a subset of ribosomal protein subunits (Rpl41, Rps24, Rpl36, Rpl35, Rpl21, Rps12, Rps18, Rps14, Rpl12, Rpl34, Rps100, and Rpl17) are specifically upregulated in the liver of mice treated with exomeres, Exo-S and Exo-L when compared to the PBS control. On the other hand, transcription factors such as Forkhead box protein N3 (Foxn3), TEA domain family member 1 (Tead1), Nuclear Factor Of Activated T Cells 5 (Nfat5), Forkhead box Q1 (Foxq1), Forkhead box K1 (Foxk1), Kruppel Like Factor 12 (Klf12), and ETS domain-containing protein (Elk4) are among the top 50 genes that are significantly down-regulated genes in all three groups.

To further investigate the functional pathways that are remarkably influenced by exomeres, Exo-S, and Exo-L, Ingenuity Pathway Analysis was conducted upon each dataset. Shown in FIG. 25 are the top five canonical pathways that were identified in each dataset: exomere versus PBS (FIG. 25A); Exo-S versus PBS (FIG. 25B); Exo-L versus PBS (FIG. 25C); exomere versus Exo-S (FIG. 25D), and exomere versus Exo-L (FIG. 25E). Importantly, pathways including E2F signaling, mTOR signaling, and regulation of eIF4 and p70S6K signaling are identified to be remarkably changed in all three groups of exomeres, Exo-S, and Exo-L when compared to the PBS control, indicating their fundamental influence on the proliferation and metabolism of the liver. Beyond these findings, pathways of Molecular Mechanisms of Cancer and Glucocorticoid Receptor Signaling are specifically recognized among the top five canonical pathways in the exomere versus PBS group; pathways of Mitochondrial Dysfunction and Oxidative Phosphorylation in the Exo-S versus PBS group; and pathways of Nerve Growth Factor Signaling and Insulin Receptor Signaling in the Exo-L versus PBS group. Furthermore, when the exomere-treated group was compared to the Exo-S or Exo-L-treated groups, the following pathways are specifically recognized: Acute Phase Response Signaling, FXR/RXR Activation, Toll-like Receptor Signaling, LPS/IL-1 Mediated inhibition of RXR Function, and Aryl Hydrocarbon Receptor Signaling in the comparison of exomeres versus Exo-S; Superpathway of Cholesterol Biosynthesis. Cholesterol Biosynthesis I, Cholesterol Biosynthesis II (via 24,25-dihydrolanosterol), Cholesterol Biosynthesis III (via Desmosterol), and IGF-1 Signaling in exomere versus Exo-L. Collectively, detection of the alteration in these signaling pathways may assist in detecting and monitoring tumor progression in cancer patient. They also represent potential therapeutic targets.

Proteomic analysis of exomeres has indicated its potential role in the metabolism of the target cells. To specifically follow up on this hypothesis, the livers harvested from mice 24 hours post injection of B16-F10 derived exomeres, Exo-S and Exo-L in comparison with the PBS control were subjected for metabolite extraction and mass spectrometry analysis. FIG. 26A listed the number of metabolites whose abundance are significantly affected in each comparison group using unpaired t test. One-way ANOVA analysis was utilized to further identify metabolites that are changed in all three experimental groups and those are uniquely affected in each group. FIG. 26B illustrated all the metabolites identified with significant changes and FIG. 26C showed the clustering analysis of the metabolites that are uniquely affected in each group. In particular, the abundance of metabolites including thymine, taurine, and adenylosuccinate are found increased in all three groups of exomeres. Exo-S and Exo-L-treated mouse livers (FIG. 27A); whereas the abundance of the following metabolites including glucose-6-phosphate, L-arginino-succinate, methylcysteine, sn-glycerol-3-phosphate, and tyrosine decreased in all three groups when compared to the PBS control (FIG. 27B). Furthermore, representative metabolites that are uniquely affected in each group (FIG. 26C) are illustrated in FIGS. 28A-28C. Besides the altered gene expression, the aberrant regulation of these metabolites can be utilized as biomarkers to detect and monitor tumor progression and serve as potential therapeutic targets as well for cancer patients.

To further dissect the functional roles of exomeres in liver, immunofluorescent colocalization analysis was conducted and Kupffer cells, the resident macrophages in liver, were identified as the primary cell type that uptakes B16-F10 melanoma derived exomeres. When intravenously administrated into the naïve and syngeneic C57BL/6 mice, more than 95% of exomeres previously labeled with the PKH67 fluorescent dye were observed colocalized with the F4/80 positive Kupffer cells in the liver (FIG. 29). This finding implicates that Kupffer cell function can potentially be manipulated by tumor-derived exomeres and initiate a cascade of systemic effect to favor the tumor growth in vivo, therefore representing a potential target to develop therapeutic strategy for blocking cancer development.

Although preferred embodiments have been depicted and described in detail herein, it will be apparent to those skilled in the relevant art that various modifications, additions, substitutions, and the like can be made without departing from the spirit of the invention and these are therefrom considered to be within the scope of the invention as defined in the claims which follow. 

1. A method of diagnosing cancer in a subject, said method comprising: selecting a subject having cancer; obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm; recovering the exomeres, small exosomes, or large exosomes from the sample; contacting the exomeres, small exosomes, or large exosomes or portions thereof with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof, and diagnosing the cancer based on said contacting.
 2. The method of claim 1, wherein said sample is blood, serum, plasma, ascites, cyst fluid, pleural fluid, peritoneal fluid, cerebrospinal fluid, tears, urine, saliva, sputum, nipple aspirates, lymph fluid, fluid of the respiratory, intestinal, and genitourinary trances, breast milk, intra-organ system fluid, peritoneal fluid, conditioned media from tissue explant culture, or combinations thereof.
 3. The method of claim 1, wherein exomeres are recovered.
 4. The method of claim 1, wherein small exosomes are recovered.
 5. The method of claim 1, wherein large exosomes are recovered.
 6. The method of claim 3, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said exomeres.
 7. The method of claim 6, wherein said method is carried out to determine if the subject has cancer by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of PPID, GANAB, MAT1A, CPYD, FAT4, GMPPB, ERP44, CALR, GPD1, BZW1, PFKL, OLFML3, HGD, LGALS3BP, GCLC, PEPD, MTHFD1, PGD, ACTR3, XPNPEP1, UGP2, SNX2, ALDOC, SEPT11, HSPA13, AARS, SERPINH1, CNDP2, PDE5A, AGL, EXT1, IDH1, SERPINC1, RRM1, CKB, HMGCS1, HPD, PSMC4, NPEPPS, CAT, EXT2, CORO1C, B4GAT1, RACK1, MAPRE1, PGM1, PD1A3, ADK, SHMT1, ACO1, GSN, ESD, PPP2R1A, ALDH1L1, OLA1, ACLY, EEF1G, FLNB, PSMD11, ANGPTL3, FERMT3, PYGL, MDH1, and EIFA2.
 8. The method of claim 4, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said small exosomes.
 9. The method of claim 8, wherein said method is carried out to determine if the subject has cancer by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of TTYH3, FLOT1, FLOT2, TSPAN14, LAMC1, CD63, MVB12A, ZDHHC20, VAMP3, VPS37B, ARRDC1, and TGFBR2.
 10. The method of claim 5, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said large exosomes.
 11. The method of claim 10, wherein said method is carried out to determine if the subject has cancer by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SQSTM1, STIP1, HINT1, WASF2, RASA3, EPB41L2, GIPC1, S100A10, MPP6, KIF23, RACGAP1, ANXA5, CASK, DLG1, TJP1, BAG5, TXN, ABI1, ANXA1, CAPG, DB1, S100A6, CHMP2B, CHMP3, ANXA2, MYO1C, ANXA4, SNX12, LIN7C, STXBP3, CEP55, ALCAM, VCL, CHMP1A, FARP1, ACSL4, BA1AP2, SH3GL1, DSTN, LGALS1, CYFIP1, CTNNA1, RAB31, ARF6, SLC1A5, EPS8, FMNL2, PGAM1, CNP, CHMP4B, ANXA3, VPS4B, GNG12, PACSIN3, GLG1, VTA1, LYN, VPS37C, CHMP5, F3, DNAJA1, RHOC, GNA13, CHMP2A, ATP2B1, RDX, ATP1B1, CAPZB, EHD1, DNAJA2, and CTNND1.
 12. The method of claim 6, wherein said method is carried out to determine if the subject has melanoma by detecting, higher or lower levels, relative to a standard for subjects not having melanoma, or the presence or absence, of one or more of the proteins selected from the group consisting of IT1H2, IT1H3, H2AFX, PMEL, MAT1A, HPD, ALB, B4GAT1, ARF1, GCLC, HGD, PPP2CB, PAH, AGL, RNPEP, PPID, BZW1, ME1, DPYD, CA6, OLFML3, NPEPPS, PREP, ERP44, RELN, GPD1, GFPT1, CNDP2, PFKL, ALDH8A1, ATP6V1A, ENO2, THBS3, CORO1C, EXT1, CAT, XPNPEP1, PYGL, CALR, and LGALS3BP.
 13. The method of claim 8, wherein said method is carried out to determine if the subject has melanoma by detecting, higher or lower levels, relative to a standard for subjects not having melanoma, or the presence or absence, of one or more of the proteins selected from the group consisting of TYRP1, SDCBP, SDCBP, CD63, IGSF8, HSPA8, MLANA, HBA1/HBA2, GPNMB, DCT, HSPA2, HSPA1L, HSPA5, Fv4, PDCD61P, RAB7A, ENV1, CD81, GNB1, SYT4, GNB2, HIST1H2AH, GNAI2, GAPDH, APOE, BC035947, Hist1h2a1, ACTG1, ACTB, GNB4, GNA13, SLC3A2, ACTC1, GNAS, SLC38A2, HIST2H2BF, ATP1A1, TFRC, TMEM176B, VAMP8, TSPAN10, ADGRG1, Hist1h4a, PMEL, UBL3, PPIA, ACTBL2, CD9, BACE2, and TSPAN4.
 14. The method of claim 10, wherein said method is carried out to determine if the subject has melanoma by detecting, higher or lower levels, relative to a standard for subjects not having melanoma, or the presence or absence, of one or more of the proteins selected from the group consisting of HSPA8, TYRP1, SDCBP, HSPA2, RPS27A, HSPA1L, MLANA, HSPA5, CD63, IGSF8, GPNMB, Fv4, ENV1, PDCD61P, HSPA1A/HSPA1B, DCT, ACTG1, ACTB, PPIA, SLC3A2, ACTC1, CD81, ITM2C, RAB7A, GNB1, TSPAN4, DNAJA1, GNB2, TFRC, HBA1/HBA2, GNAI2, SYT4, GAPDH, APOE, PMEL, MFGE8, GNB4, GNA13, GNAO1, DNAJA2, ATP1A1, ITGB1, TMEM59, SLC38A2, GNA12, ITM2B, GNAS, HIST1H2AH, LAMP1, and EEF1A1.
 15. The method of claim 6, wherein said method is carried out to determine if the subject has breast cancer by detecting, higher or lower levels, relative to a standard for subjects not having breast cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of FGB, HIST2H2AB, COMP, HIST1H2BJ, C7, GSTA5, ENO3, ARF3, SULT1C4, E1F4A2, MAT1A, GNB2, UGDH, AKR1B10, MTHFD1, CTSC, DPP3, RPSA, OTUB1, ALDH8A1, F11, CTPS2, MGAT1, HYH1, LGALSL, GSTM3, GSTM5, PSMC1, F8, PRKAR2B, RPL10A, HNRNPK, SEMA6D, SNX5, IARS, LCP2, ARPC4, PPP6C, PSMD6, PTPRS, TIE1, PSMD8, PABPC4, RPS18, CHAD, IPO5, FABP3, GALNT2, QPCT, STAT5A, SEMA3A, NT5C2, IDE, STAT3, DPYSL3, PDXK, ARF5, PSMD5, GNE, NBEAL2, FHL1, TIMP3, POSTN, MAPRE2, IT1H3, C3, ENO2, PPID, O1T3, CAND1, SEPT2, UBE2N, DPYSL2, CKB, PTGES3, DSTN, PKLR, THBS3, RAP1B, HIST2H2AB, ACTBL2, TUBB2A, F10, CNTN1, HPD, ACE, EML2, HSPA13, TNXB, HEXB, CALR, ADH5, GPX1, CFL2, KRT76, TCP1, COTL1, DYNLL1, HGD, ALDOC, EPRS, GLO1, MAN2A1, FLT4, NAP1L4, RARS, HMGCS1, GANAB, SEPT7, FKBP4, COL12A1, ADSL, AKR1C20, VASN, DDX39B, ME1, COMT, ALDH1A1, EIF4A3, CDH11, PRPS1I3, PNPEP, NPEPPS, SEPT11, CMBL, PSMD1, ACTR1B, PSMD3, GCLC, FAT4, LPL, GPD1L, GCLM, VARS, PHPT1, CACNA2D1, SEPT9, GLRX3, AARS, GMPPB, SNX2, GLOD4, PTPRF, CSAD, PXDN, AGL, DPYD, PRKACB, LARS, PPID, LTA4H, PSMD7, CAPNS1, ETF1, IARS, VPS35, TKFC, HYOU1, PGM2, TKT, HMCN1, CYB5R3, GPS1, UMPS, SND1, RTCB, RPL26, CARM1, PLCG2, P4HA2, CORO6, GMPS, IGSF8, PPP1R7, TIMP3, UXS1, DNM2, MEMO1, RPS3, ARHGD1A, PTGES3, NRP2, RAB1A, HBG2, and YWHAQ.
 16. The method of claim 8, wherein said method is carried out to determine if the subject has breast cancer by detecting, higher or lower levels, relative to a standard for subjects not having breast cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SDCBP, HIST1H2BN, HIST1H2AH, HBA1/HBA2, ITGB1, Hist1h4a, PDCD61P, HIST3H2BB, H2AFX, CD9, CD63, ITGA3, IT1H2, MFGE8, H2AFZ, PTGFRN, Hist1h3b, HSPA8, ACTG1, ACTB, ARRDC1, ACTC1, IT1H3, IGSF8, GSN, TUBA4A, HIST1H1D, TUBA1A, HIST1H1C, THBS1, HSPA2, ENO1, MVB12A, HTRA1, GAPDH, Hist1h1e, VPS28, TSG101, TUBB, TUBB4A, RAP1B, PFN1, CD81, VPS37B, TUBB6, RAP1A, EPCAM, Hist1h1b, PPIA, ADAM10, HBA1, HIST1H2BK, A2M, ED1L3, SDCBP, MFGE8, GSN, HIST2H2AC, HIST1H2AC, H2AFX, ACTB, THBS1, IT1H4, TUBB, TUBB2A, TUBB4B, F10, H2AFZ, TUBB4A, TUBB6, TUBB1, HSPA8, CD9, CD81, GAPDH, PFN1, HIST1H4A, HSP90AA1, HSP90AB1, HSPA2, HIST2H3A, PGK1, THBS2, EEF1A1, GPX3, ITGB1, PPIA, PDCD61P, EEF1A2, FBLN1, ATIC, CPNE8, TLN1, HSPA5, PKM, HIST1H1C, WDR1, RAN, PYGL, and ITGA3.
 17. The method of claim 10, wherein said method is carried out to determine if the subject has breast cancer by detecting, higher or lower levels, relative to a standard for subjects not having breast cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of PDCD61P, SDCBP, EHD1, ITGB1, S100A6, ITGA3, CD9, VPS37C, Hist1h4a, RAP1B, CTNNA1, MSN, HIST1H2AH, ITGA2, PTGFRN, ACTG1, HIST1H2BN, Calm1, EPCAM, ITGA6, YWHAE, HSPA1A/HSPA1B, GNB1, SLC3A2, GNB2, EHD2, H2AFX, PPIA, NT5E, VPS4B, GNB4, Cdc42, SLC1A5, GNAI2, CFL1, YWHAH, EEF1A1, YWHAB, Hist1h3b, TSG101, YWHAG, ANXA5, GNA13, F5, H3F3A/H3F3B, CHMP4B, HSPA5, EZR, GAPDH, CD81, ED1L3, HBA1/HBA2, UBC, SDCBP, HSPA8, ITGB1, CD9, HSPA2, ACTC1, ACTB, ACTG1, PDCD61P, AFP, HBG2, ANXA2, ITGA3, HIST1H2BK, GAPDH, CD81, SLC3A2, GNAI2, GNA13, GNAI1, ATP1A1, HIST2H2AC, CPNE8, IST1, PFN1, TUBA4A, H2AFX, TUBA1C, HSPA5, YWHAZ, ENO1, ANXA5, GNAS, DNAJA1, CHMP5, EEF1A1, RHOA, KRT1, CEP55, GNB1, ACTBL2, ITGA2, EPHA2, GNA13, PPIA, RAP1A, and CD59.
 18. The method of claim 6, wherein said method is carried out to determine if the subject has pancreatic cancer by detecting, higher or lower levels, relative to a standard for subjects not having pancreatic cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SULT1E1, PKLR, ENO2, AKR1B1, FH, MGAT2, GPX1, DPP3, SEMA4B, GPD1, CSAD, NCAM1, PCMT1, NARS, THOP1, UMPS, PDE5A, CACNA2D1, TIE1, CDH11, AOX1, F8, GLB1, RPL10A, ACAP2, UXS1, ADSL, BMP1, PSMD3, LANCL1, GLO1, PPP2CA, ESD, PSMD5, FARSB, PAFAH1B1, SNX5, XPO1, MAPRE1, APRT, NEO1, GBA, THBS1, PYGL, THBS2, FAT4, CNTN1, AKR1C20, E1F4A2, ESD, BPGM, VASN, MAT1A, MAT2A, PFKL, CLIC5, HGD, GLOD4, AGL, PLEKHB2, CLSTN1, ST13, CMBL, AKR1E2, PRKAR2A, GPD1, LGALSL, GLA, IL1RAP, GMPPB, PCSK6, SEPT9, PSMC6, FYN, PAFAH1B1, VPS37C, CTNND1, NRBP1, ERP44, SHMT1, DARS, ADSL, GCLM, ALDOC, EPHA4, PEPD, CKB, PCMT1, UGDH, PRKAR1A, and GNAS.
 19. The method of claim 8, wherein said method is carried out to determine if the subject has pancreatic cancer by detecting, higher or lower levels, relative to a standard for subjects not having pancreatic cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of SDCBP, PDCD61P, HSPA8, IGSF8, CD9, PTGFRN, ACTC1, LY6E, ACTB, MFGE8, HSPA2, CD81, ITGA3, ITGB1, IT1H2, VPS28, CD63, HTRA1, ENV1, Fv4, GSN, ENO1, ED1L3, MVB12A, IF1TM3, SERPINC1, ACTBL2, TUBA4A, PPIA, HSPA1A/HSPA1B, HSPA5, GAPDH, TSG101, TUBB, PLEKHB2, TUBA1C, TUBB4B, PFN1, GPC1, GJA1, EHD1, GNB2, TSPAN4, GNAI2, SLC3A2, VPS37B, GNA13, RAB7A, EEF1A1, GNAS, ALB, HBA1/HBA2, CD9, UBC, SDCBP, F2, ACTG1, ACTB, CD59, ACTC1, ACTA2, A2M, HIST1H2BK, HIST1H2BJ, HSPA8, TSPAN3, HIST2H2AC, CD55, H3F3A/H3F3B, HIST2H3PS2, PDCD61P, ITGB1, POTEJ, SERINC5, H2AFZ, ARRDC1, CLDN3, NT5E, EPCAM, CDH17, ATP1A1, ALPPL2, HIST2H2AB, ALPP, HSPA2, TSPAN8, MVP, ADAM10, THBS1, VNN1, ITGAV, IGSF8, MYOF, ATP1A2, AHCY, GSN, TSPAN1, PPIA, SDCBP2, and HSPA5.
 20. The method of claim 10, wherein said method is carried out to determine if the subject has pancreatic cancer by detecting, higher or lower levels, relative to a standard for subjects not having pancreatic cancer, or the presence or absence, of one or more of the proteins selected from the group consisting of ACTC1, ACTG1, ACTB, MFGE8, ITGB1, HSPA8, ITGA3, SDCBP, GAPDH, LGALS1, ENV1, Fv4, YWHAZ, PPIA, GNB1, GNAI2, GNB2, ACTBL2, GNA13, CFL1, Marcks, GNAS, EEF1A1, ENO1, BSG, Calm1, S100A4, MSN, EZR, RDX, PTGFRN, PKM, SLC3A2, HBA1/HBA2, ED1L3, GNA13, RHOA, RHOC, S100A6, YWHAE, ALDOA, PDCD61P, PFN1, HSP90AB1, YWHAQ, ANXA1, ANXA2, ATP1A1, ITGA6, UBC, HBA1/HBA2, CD9, ACTG1, ACTB, CD59, MVP, SDCBP, ACTC1, ACTA2, HIST1H2BK, HIST2H2AC, ALB, HSPA8, HIST1H2BJ, CD55, H3F3A, TSPAN3, HIST2H3PS2, POTEJ, DPP4, NT5E, EPCAM, VNN1, H2AFZ, ITGB1, ALPPL2, HIST2H2AB, ATP1A1, ALPP, IST1, PDCD61P, MUC13, ANXA11, HSPA2, CDH17, GPA33, ANXA2, S100A6, ATP1A2, PPIA, EGFR, TSPAN8, MYOF, GNAI1, GNAI2, GNA13, S100A4, CLDN3, and A2M.
 21. The method of claim 1, wherein said one or more reagents suitable for detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes measure protein expression level.
 22. The method of claim 3, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-glycans contained in said exomeres.
 23. The method of claim 22, wherein said one or more N-glycans are selected from the group consisting of N-glycan (Fucose)+GlcNAcβ1-6(GlcNAcβ1-2)Manα1-6(GlcNA β1-4(GlcNAcβ1-2)Manα1-3)Manβ1-4GlcNAcβ1-4(Fucα1-6)GlcNAcβ1-Asn and N-glycan (Fucose)+Neu5Acα2-8Neu5Acα2-3Galβ1-3/4GlcNAcβ1-2Manα1-3(Manα1-3(Manα1-6))Manα1-6)Manβ1-4GlcNAcβ1-4GlcNAcβ1-Asn.
 24. The method of claim 4, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-glycans contained in said small exosomes.
 25. The method of claim 5, wherein said contacting is carried out by detecting, higher or lower levels relative to a standard for subjects not having cancer, or the presence or absence, of one or more N-glycans contained in said large exosomes.
 26. The method of claim 3, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more lipids contained in said exomeres. 27.-28. (canceled)
 29. The method of claim 4, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more lipids contained in said small exosomes. 30.-31. (canceled)
 32. The method of claim 5, wherein said contacting is carried out by detecting, higher or lower levels, relative to a standard for subjects not having cancer, or the presence or absence, of one or more lipids contained in said large exosomes. 33.-34. (canceled)
 35. The method of claim 1, wherein said contacting is carried out by detecting the presence or absence, relative to a standard for subjects not having cancer, of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, said small exosomes, or said large exosomes. 36.-37. (canceled)
 38. The method of claim 1 further comprising: selecting a suitable cancer therapeutic based on said diagnosing and administering the selected cancer therapeutic to said selected subject.
 39. A method of prognosing cancer in a subject, said method comprising: selecting a subject having cancer; obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm; recovering the exomeres, small exosomes, or large exosomes from the sample; contacting the exomeres, small exosomes, or large exosomes or portions thereof with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in said exomeres, small exosomes, or large exosomes, or (5) combinations thereof, and prognosing the cancer based on said contacting.
 40. A method of managing treatment of a subject having cancer, said method comprising: selecting a subject undergoing treatment for cancer; obtaining, from the selected subject, a population of either exomeres having a diameter of less than 50 nm, small exosomes having a diameter of 60-80 nm, or large exosomes having a diameter of 90-120 nm; recovering the exomeres, small exosomes, or large exosomes from the sample; contacting the exomeres, small exosomes, or large exosomes or portions thereof with one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more proteins contained in said exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more N-glycans contained in said exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to the level in a prior sample obtained from the subject, or the presence or absence, of one or more lipids contained in said exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in exomeres, small exosomes, or large exosomes, or (5) combinations thereof, and modifying said treatment, as necessary, based on said contacting. 41.-78. (canceled)
 79. A kit suitable for diagnosing cancer, said kit comprising: one or more reagents suitable to detect: (1) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more proteins contained in exomeres, small exosomes, or large exosomes, (2) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more N-glycans contained in exomeres, small exosomes, or large exosomes, (3) higher or lower levels, relative to a standard or to a sample from a subject, or the presence or absence, of one or more lipids contained in exomeres, small exosomes, or large exosomes, (4) the presence or absence of one or more genetic mutations in nucleic acid molecules associated with cancer and contained in exomeres, small exosomes, or large exosomes, or (5) combinations thereof, wherein said exomeres have a diameter of less than 50 nm, small exosomes have a diameter of 60 to 80 nm and said large exosomes have a diameter of 90 to 120 nm. 80.-111. (canceled) 